ON-PUMP BEATING HEART MYOCARDIAL REVASCULARIZATION FOR HIGH RISK PATIENTS

A S Zotov; T V Klypa; D V Borisov; M V Ilyin

doi:10.17816/clinpract7346-52

Journal of Clinical Practice ›› 2016, Vol. 7 ›› Issue (3) : 46 -52. DOI: 10.17816/clinpract7346-52

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ON-PUMP BEATING HEART MYOCARDIAL REVASCULARIZATION FOR HIGH RISK PATIENTS

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Abstract

107 patients with mean ejection fraction 40,6±7,4% underwent on-pump-beating heart coronary revascularization and associated procedures. There were 76 men and 31 women, with a mean age of 68,9±7,8 years. Five patients required carotid endarterectomy and twelve patients required left ventricular aneurysm repair. 5 patients underwent carotid endarterectomy and 12 patients - left ventricular aneurysm repair. The mean number of graft/patient was 2,9±0,8. Postoperatively occurred the following complications: acute ischemic stroke - 1 (0.9%), acute heart failure - 1 (0.9%), respiratory failure - 2 (1.9%) and bleeding required surgical revision - 1 (0.9%). Hospital mortality rate was 0,9% (1 of the 107 patients). On-pump beating heart technique is a safe and efficient method for coronary artery bypass grafting and associated procedures (carotid endarterectomy, left ventricular aneurysm repair).

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myocardial revascularization / coronary artery bypass grafting / on-pump beating heart surgery / carotid endarterectomy / left ventricular aneurysm repair

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A S Zotov, T V Klypa, D V Borisov, M V Ilyin. ON-PUMP BEATING HEART MYOCARDIAL REVASCULARIZATION FOR HIGH RISK PATIENTS. Journal of Clinical Practice, 2016, 7(3): 46-52 DOI:10.17816/clinpract7346-52