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Eur J Cardiothorac Surg 2006;29:861
© 2006 Elsevier Science NL

Letter to the Editor

Reply to Mishra

Cardiac Surgical Research/Cardiothoracic Surgery, The Rayne Institute, Guy's & St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, London SE1 7EH, UK

Received 20 January 2006; accepted 23 January 2006.

^_* Corresponding author. Tel.: +44 20 7261 0157; fax: +44 20 7928 0658. (Email: david.chambers@kcl.ac.uk).

Key Words: Intermittent cross-clamp • Fibrillation • Cardioplegia • Preconditioning • Myocardial protection

The first 20% of the full text of this article appears below.

We thank Dr Mishra for his perceptive and insightful comments [1] concerning both our recent study published in EJCTS [2] on intermittent cross-clamp fibrillation (ICCF) and the provocative editorial comment that accompanied the article [3], and we are pleased that he found them interesting. Dr Mishra makes some very valid points in his letter concerning the use of ICCF; certainly at St Thomas’ Hospital the technique is used relatively routinely by a number of surgeons with excellent results. Our initial study concerning the protective effect of ICCF [4] was prompted by a belief . . . [Full Text of this Article]