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Fabio Capuano
Caterina Simon
Antonino Roscitano
Euclide Tonelli
Riccardo Sinatra
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Asian Cardiovasc Thorac Ann 2007;15:502-506
© 2007 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Cardiac Troponin I Concentrations During On-Pump Coronary Artery Surgery

Fabio Capuano, MD, Caterina Simon, MD, Antonino Roscitano, MD, Gianluca Sclafani, MD, Euclide Tonelli, MD, Riccardo Sinatra, MD

Division of Cardiac Surgery, St. Andrea Hospital, University of Rome "La Sapienza", Rome, Italy

For reprint information contact: Fabio Capuano, MD, Tel: 39 06 3377 5310, Fax: 39 06 3377 5483, Email: capmd{at}katamail.com, Division of Cardiac Surgery, St. Andrea Hospital, Via di Grottarossa 1035-1039, 00188 Rome, Italy.

Perioperative myocardial infarction remains a frequent complication after coronary artery bypass grafting, and is associated with a poor prognosis. This retrospective study compared cardiac troponin I concentrations after on-pump bypass grafting in 2 groups of patients: 100 operated on using a single-clamp technique to perform anastomoses, and 80 operated on using a double-clamp technique. Postoperative cardiac troponin I levels were not significantly different between groups. It was concluded that the double-clamp technique did not reduce the incidence of myocardial infarction after elective on-pump coronary artery bypass grafting, and use of a single clamp is safe with no adverse effect on postoperative outcome.




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