Document Detail


Off-pump coronary artery bypass grafting: a case report.
MedLine Citation:
PMID:  16483067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is easy to take for granted the seemingly effortless way cardiovascular surgeons are able to bypass atherosclerotic coronary arteries. The process used today was developed over many years of rigorous study, experimentation, success, and failure. Early cardiac surgery was performed blindly, through small incisions, on a beating heart. Advances in medicine allowed surgery to be performed on hearts stilled by cardioplegic arrest, while the circulation was continued through the use of a cardiopulmonary bypass (CPB) machine. The development of the CPB machine allowed surgeons to perform the delicate work of coronary artery bypass grafting (CABG), first attempted on dogs, and then humans. This article briefly outlines the historical evolution of cardiac surgery that led to the development of the technology necessary to perform off-pump coronary artery bypass grafting (OPCAB). A case report of a 72-year-old female who underwent OPCAB is outlined. Included is a discussion of some of the benefits and potential complications of CABG and OPCAB. Anesthetic considerations for OPCAB procedures also are presented.
Authors:
Leanne R Behny
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  AANA journal     Volume:  74     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-17     Completed Date:  2006-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-44     Citation Subset:  N    
Affiliation:
Woodlawn Hospital, Rochester, Ind, USA. lbehny@earthlink.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Anesthesia, Inhalation / methods*
Anesthesia, Intravenous / methods*
Anesthetics, Inhalation / therapeutic use
Anesthetics, Intravenous / therapeutic use
Animals
Conscious Sedation / methods
Coronary Artery Bypass, Off-Pump / instrumentation,  methods*,  trends
Coronary Disease / complications,  surgery*
Dogs
Female
Humans
Isoflurane / therapeutic use
Midazolam / therapeutic use
Monitoring, Intraoperative / methods
Neuromuscular Nondepolarizing Agents / therapeutic use
Pancuronium / therapeutic use
Perioperative Care / methods
Sufentanil / therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anesthetics, Inhalation; 0/Anesthetics, Intravenous; 0/Neuromuscular Nondepolarizing Agents; 0/Pancuronium; 26675-46-7/Isoflurane; 56030-54-7/Sufentanil; 59467-70-8/Midazolam

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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