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Eur J Cardiothorac Surg 2001;20:858-860
© 2001 Elsevier Science NL
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a Department of Cardiac Surgery, Kralovske Vinohrady University Hospital, Prague, Czech Republic
b Department of Cardiology, Kralovske Vinohrady University Hospital, Prague, Czech Republic
Received 27 February 2001; received in revised form 10 July 2001; accepted 18 July 2001.
Corresponding author. Department of Cardiac Surgery, FNKV, Srobarova 50, CZ-100 34 Prague 10, Czech Republic. Tel.: +420-2-67163422; fax: +420-2-67163260
e-mail: vanek{at}fnkv.cz
Thoracic epidural anesthesia without intubation was used in 10 patients undergoing off-pump coronary artery reconstruction performed through median sternotomy. Considering the preoperative finding of impaired pulmonary function, all were moderate-risk patients for surgery using conventional general anesthesia with intubation. All patients had an uneventful postoperative course. In indicated cases, we regard thoracic epidural anesthesia as a suitable method again modifying the term ‘minimally invasive’ in cardiac surgery.
Key Words: Thoracic epidural anesthesia • Off-pump coronary artery surgery
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