Off-pump coronary artery bypass grafting after off-pump coronary endarterectomy in 36 cases

Objective To summarize the experience and feasibility of off-pump coronary artery bypass grafting (off-pump CABG) after off-pump coronary endarterectomy (CE) for patients with diffused coronary.Methods From January 2001 to July 2011,with diffused coronary artery disease underwent CE without cardiopulmonary bypass and off-pump CABG.Forty endarterectomies were performed in 36 patients totally which included 23 cases in left anterior descending artery(LAD),1 case in obtuse marginal branch and 12 cases in right coronary artery.There were 23 cases left IMA,2 cases radial,arteries,others were great saphenous veins.Results Thirty-six patients discharged uneventfully,noangina re-occurrence.Conclusion CE and bypass grafting without cardiopulmonary bypass is technically feasible and can be performed safely in patients with difused coronary arery disease with increased completeness of myocardial revascularization.