| Off-pump coronary artery bypass surgery in selected patients is superior to the conventional approach for patients with severely depressed left ventricular function. | |
| | |
MedLine Citation:
|
PMID: 22189729 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVES: Patients with coronary artery disease and left ventricular dysfunction have high mortality when kept in clinical treatment. Coronary artery bypass grafting can improve survival and the quality of life. Recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. The aim of this study is to compare patients with left ventricular ejection fractions of less than 20% who underwent coronary artery bypass graft with or without cardiopulmonary bypass. METHODS: From January 2001 to December 2005, 217 nonrandomized, consecutive, and nonselected patients with an ejection fraction less than or equal to 20% underwent coronary artery bypass graft surgery with (112) or without (off-pump) (105) the use of cardiopulmonary bypass. We studied demographic, operative, and postoperative data. RESULTS: There were no demographic differences between groups. The outcome variables showed similar graft numbers in both groups. Mortality was 12.5% in the cardiopulmonary bypass group and 3.8% in the off-pump group. Postoperative complications were statistically different (cardiopulmonary bypass versus off-pump): total length of hospital stay (days)-11.3 vs. 7.2, length of ICU stay (days)-3.7 vs. 2.1, pulmonary complications-10.7% vs. 2.8%, intubation time (hours)-22 vs. 10, postoperative bleeding (mL)-654 vs. 440, acute renal failure-8.9% vs. 1.9% and left-ventricle ejection fraction before discharge-22% vs. 29%. CONCLUSION: Coronary artery bypass grafting without cardiopulmonary bypass in selected patients with severe left ventricular dysfunction is valid and safe and promotes less mortality and morbidity compared with conventional operations. |
| | |
Authors:
|
Guido Marco Caputti; José Honório Palma; Diego Felipe Gaia; Enio Buffolo |
Related Documents
:
|
22075629 - Transapical access for thoracic endograft delivery. 21839959 - Angioarchitectural characteristics of brain arteriovenous malformations with and withou... 17329829 - Study on the relationship of apache iii and levels of cytokines in patients with system... 15224029 - Inhaled prostacyclin reduces cardiopulmonary bypass-induced pulmonary endothelial dysfu... 22130189 - Repair of a ductal aneurysm using a hemi-clamshell incision in an elderly patient. 22036259 - Off-pump coronary artery bypass grafting does not preserve renal function better than o... 22962389 - Atrial myxoma: a rare cause of cardioembolic stroke. 3780079 - Osteoid osteoma in a cervical pedicle. resection via transpillar approach. 642559 - Clinical spectrum of septic pulmonary embolism and infarction. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Clinics (São Paulo, Brazil) Volume: 66 ISSN: 1980-5322 ISO Abbreviation: Clinics (Sao Paulo) Publication Date: 2011 |
Date Detail:
|
Created Date: 2011-12-22 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101244734 Medline TA: Clinics (Sao Paulo) Country: Brazil |
Other Details:
|
Languages: eng Pagination: 2049-53 Citation Subset: IM |
Affiliation:
|
Cardiovascular Surgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Abnormal sensory integration affects balance control in hemiparetic patients within the first year a...
Next Document: Chronic hepatitis virus infection in patients with multiple myeloma: clinical characteristics and ou...