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The Annals of Thoracic Surgery, Vol 32, 554-557, Copyright © 1981 by The Society of Thoracic Surgeons

ARTICLES

Noncoronary collateral distribution in coronary artery disease

GN Olinger, LI Bonchek and DM Geiss

Noncoronary collateral flow is a potential hazard when cold cardioplegia is used for myocardial protection. In this study, noncoronary collateral flow was observed during coronary revascularization in 58 patients. It was distributed significantly (p less than 0.005) toward arteries demonstrating intercoronary collateral flow angiographically - 1.0 of 35 with and 12 of 121 without. Preponderance of coronary collateral flow in hearts with more extensive disease may complicate cardioplegic myocardial protection for such patients.




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Copyright © 1981 by The Society of Thoracic Surgeons.