The early results of coronary reoperations VIA off pump

CONCLUSION: Reoperations of coronary artery revascularization surgery without the use of cardiopulmonary bypass is more economic, less manipulations needing, free of the side effects of cardiopulmonary bypass, less time consuming surgical procedure compared to reoperations done under cardiopulmonary bypass and when performed with good technique and true indications, have mortality and morbidity advantages over the surgery performed under cardiopulmonary bypass.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: Reoperations of coronary artery surgery still carries a higher mortality and morbidity rate compared to primary revascularization procedures.

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Key Findings & Data:Coronary artery bypass reoperations on beating heart without the use of cardiopulmonary bypass is a new potential strategy that have been developed to decrease mortality and morbidity.

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Conclusion & Impact:CONCLUSION: Reoperations of coronary artery revascularization surgery without the use of cardiopulmonary bypass is more economic, less manipulations needing, free of the side effects of cardiopulmonary bypass, less time consuming surgical procedure compared to reoperations done under cardiopulmonary bypass and when performed with good technique and true indications, have mortality and morbidity advantages over the surgery performed under cardiopulmonary bypass.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Ölüm oranı · Ameliyat sonrası komplikasyonlar · Koroner hastalık

Abstract

AIM: Reoperations of coronary artery surgery still carries a higher mortality and morbidity rate compared to primary revascularization procedures. Coronary artery bypass reoperations on beating heart without the use of cardiopulmonary bypass is a new potential strategy that have been developed to decrease mortality and morbidity. MATERIAL AND METHODS: Between 1978-1999, 108 patients were reoperated for coronary artery revascularization, 31 (28.7%) cases on beating heart without the use of cardiopulmonary bypass and 77 (71.3%) cases under cardiopulmonary bypass group was 5 7.4± 7.3 years. RESULTS: Statistically significant difference was found between groups, favoring beating heart surgery when early postoperative findings taken into account, in low cardiac output, postoperative myocardial infarction and postoperative hospitalization period up to discharge. Operative mortality was not statistically different between groups and these figures for cardiopulmonary bypass and beating heart groups were 11/77 (14.3%), 1/31(3.23) respectively. CONCLUSION: Reoperations of coronary artery revascularization surgery without the use of cardiopulmonary bypass is more economic, less manipulations needing, free of the side effects of cardiopulmonary bypass, less time consuming surgical procedure compared to reoperations done under cardiopulmonary bypass and when performed with good technique and true indications, have mortality and morbidity advantages over the surgery performed under cardiopulmonary bypass.

Özet

AMAÇ: Koroner arter reoperasyonları halen primer revaskülarizasyon prosedürlerine kıyasla daha yüksek mortalite ve morbiditeye sahiptir. Koroner reoperasyonların atan kalpte KPB kullanılmadan yapılması, morbidite ve mortaliteyi azaltmak amacına yönelik potansiyel bir strateji olarak ortaya çıkmıştır GEREÇ VE YÖNTEM: 1978-1999 yılları arasında kliniğimizde 108 hastanın, 31 (%28.7)'ne atan kalpte, 77 (%71.3)'ne kardiyopulmoner bypass (KPB) altında koroner revaskülarizasyon amacıyla reoperasyon gerçekleştirildi. Ortalama yaş, atan kalp grubunda (AK) 61 3± 5, KPB grubunda 57.4± 7.3 yıl idi. BULGULAR: Postoperatif erken dönem sonuçları incelendiğinde; düşük debi, postoperatif myokard enfarktüsü gelişimi ve taburcu olma süreleri bakımından atan kalp lehine istatistiki olarak anlamlı bulunmuştur. Operatif mortalite KPB grubunda 11/77 (% 14.3) ve AK grubunda 1/31 (%3.23) olup, istatistiki olarak anlamlı fark vermemiştir. SONUÇ: Atan kalpte rekoroner cerrahisi ekonomik, daha az manüplasyon isteyen, KPB 'ın istenmeyen yan etkilerinden uzak, daha kısa süren bir cerrahi teknik olup uygun ve doğru endikasyon ile yapıldığında konvansiyonel KPB cerrahisine oranla mortalite ve morbidite açısından avantajlara sahiptir.

Keywords

Ölüm oranı Ameliyat sonrası komplikasyonlar Koroner hastalık Koroner arter köprüleme Reoperasyon Cerrahi işlemler operatif Hastalık oranı Mortality Postoperative Complications Coronary Disease Coronary Artery Bypass Reoperation Surgical Procedures Operative Morbidity

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Cite This Article

İŞCAN, H. Z., GÖL, M. K., KANDEMİR, Ö., ERDİL, N., KÜÇÜKAKSU, S., ŞENER, E., TAŞDEMİR, O. (2000). The early results of coronary reoperations VIA off pump. MN Kardiyoloji, Cilt: 7 - Sayı: 4, 312–315. https://ajindex.com/articles/297823

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