Clinical Experiences of Coronary Artery Bypass Grafting Under Normal Heartbeat without Cardiopulmonary Bypass.

Yutaka Hasegawa; Akio Ohtaki; Susumu Ishikawa; Fumihiro Ikeda; Shoichi Tange; Shûichi Ichikawa; Yasuo Morishita

doi:10.2974/kmj.49.153

January 1, 1999The Kitakanto Medical JournalOpen Access

Clinical Experiences of Coronary Artery Bypass Grafting Under Normal Heartbeat without Cardiopulmonary Bypass.

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Structured PICO

P

Population

4 patients (1 male, 3 females, mean age 72.8 years) with ischemic heart disease (angina pectoris n=2, myocardial infarction n=2) and major preoperative risk factors including advanced age (≥80 years), poor renal function, insulin-dependent diabetes, and severe heart failure.

I

Intervention

Multi-vessel (double) coronary artery bypass grafting (CABG) under a beating heart without cardiopulmonary bypass (off-pump CABG) via median sternotomy.

O

Outcome

Surgical success and postoperative clinical coursesafety

Limitations

Small sample size
Lack of long-term follow-up results
Limitation of anastomotic sites

Implication

Off-pump multi-vessel CABG via median sternotomy is feasible and may expand surgical indications for high-risk patients with comorbidities who are poor candidates for cardiopulmonary bypass.

Discussion

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Cite This Study

Hasegawa et al. (1999) studied this question.

synapsesocial.com/papers/6a8af70eb2ee551d2f336deb https://doi.org/10.2974/kmj.49.153

View Full Paper

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Clinical Experiences of Coronary Artery Bypass Grafting Under Normal Heartbeat without Cardiopulmonary Bypass.

Structured PICO

Limitations

Implication

Discussion

Cite This Study

Clinical Experiences of Coronary Artery Bypass Grafting Under Normal Heartbeat without Cardiopulmonary Bypass.

Structured PICO

Limitations

Implication

Discussion

Cite This Study

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