Background Viability testing prior to revascularization in ischaemic cardiomyopathy has courted controversy in the literature over recent years. Viability assessment prior to revascularization at our institution is largely requested for patients with severely impaired left ventricles (LV). This study however aims to review the outcomes of the patients with preserved or mildly impaired LV functi...

For over 40 years, the left internal thoracic artery has been used as the gold standard for myocardial revascularization and anastomosis over the left anterior descending artery due to its excellent patency rates. However, the right internal thoracic artery behaves in the same manner as the left, also having excellent long-term patency. Hence, no patient should be deprived of the benefits of to...

Methods At our Institute, 122 patients with ACS were surgically revascularized using extracorporeal circulation in the first 10 days after the coronarography by one surgical team in the 5 years period. Patients were stratified into two groups: 65 patients operated within 4 days (group 1), and 57 patients operated from 5-Th to 10-Th day after the clopidogrel discontinuation (group 2). Patients w...

We appreciate the suggestions of Dr. Veyrat regarding our study (1) and agree that it would be of interest to trigger the computed tomographic (CT) images at the time point of maximal aortic valve opening as previously calculated with Doppler velocity-time integral. However, some technical and logistic considerations arising from the CT perspective should be taken into account. The heart rate m...

In stable patients with multivessel coronary artery disease (CAD), coronary bypass operation (coronary artery bypass grafting [CABG]) has been found to be superior to percutaneous coronary intervention (PCI) using drug-eluting stents (DES) [1–3]. The finding is based on wellpowered randomized studies [4,5] and large-scale registries [6,7]. The superiority of CABG is demonstrated by lower shorta...