Intraoperative crossover: the well-kept surgical secret to apparent surgical success.


Journal Article

Cardiologists and patients contemplate the risk of proposed operations. Surgeons typically report outcomes on operations performed. Emergency intraoperative crossover from off- to on-pump coronary artery bypass grafting occurs uncommonly but has substantial rates of mortality and morbidity. Much of the reported perioperative benefit of off- compared with on-pump coronary artery bypass grafting is erased if data are presented by intention to treat and not by operation performed. Cardiologists and cardiac surgeons should share the responsibility for advising a patient to consent to a cardiac operation using honestly presented evidence of potential benefits and risks substantiated with information analyzed in patient-centric and not physician-centric ways.

Full Text

Duke Authors

Cited Authors

  • Jones, RH

Published Date

  • May 3, 2005

Published In

Volume / Issue

  • 45 / 9

Start / End Page

  • 1529 - 1531

PubMed ID

  • 15862429

Pubmed Central ID

  • 15862429

International Standard Serial Number (ISSN)

  • 0735-1097

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2005.03.012


  • eng

Conference Location

  • United States