Paper Information

Journal:   ACTA MEDICA IRANICA   2014 , Volume 52 , Number 10; Page(s) 777 To 780.
 
Paper: 

OUTCOME OF INTRACORONARY SHUNT IN OFF-PUMP CORONARY ARTERY BYPASS SURGERY IN PATIENTS WITH LOW CARDIAC OUTPUT

 
 
Author(s):  MAGHAMIPOUR NASROLLAH*, SAFAII NASER, DASHTAKI LEILA
 
* DEPARTMENT OF CARDIAC SURGERY, BEHSAT HEART CENTER, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Patients with coronary artery disease and left ventricular dysfunction have a high mortality with nonsurgical (medical) treatment. Coronary artery bypass grafting improves survival and the quality of life. Recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. The aim of this study was to survey the result of coronary artery bypass grafting with off-pump technique using intracoronary shunt in patients with left ventricular ejection fraction£25%. From January 2009 to December 2012, 86 patients with an ejection fraction£25% (58 males, 28 females) aged 41- 84 years (61.2±3.1 yrs) underwent coronary artery bypass graft surgery with off-pump technique. Grafting was performed as needed with internal mammary artery and saphenous vein. We studied operative and postoperative data. Hospital Mortality was 2.32% (two patients). Postoperative complications were low. Total length of hospital stay was 7.2 days, length of ICU stay 2.1 days, pulmonary complications 3.48% (three patients), postoperative bleeding about 340 cc, acute renal failure 1.16% (one patient) and left-ventricle ejection fraction before discharge was increased about 10% in these patients. Coronary artery bypass grafting without cardiopulmonary bypass with intracoronary shunt in patients with severe left ventricular dysfunction is valid and safe and has low mortality and morbidity.

 
Keyword(s): CORONARY ARTERY BYPASS, OFF-PUMP SURGERY, INTRACORONARY SHUNT
 
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