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Off-Pump Coronary Artery Bypass Surgery: Analysis of 5-Year Experience

Department of Cardiac Surgery Mayo Hospital Lahore, Pakistan

For reprint information contact: Shahzad G Raja, MRCS Tel: 44 151 252 5635 Fax: 44 151 252 5643 Email: drrajashahzad{at}hotmail.com Department of Paediatric Cardiac Surgery, Alder Hey Hospital, Eaton Road, Liverpool L12 2AP, UK

We retrospectively evaluated the perioperative results of off-pump coronary artery bypass surgery performed in our center. Over a 5-year period, 520 patients were operated off-pump through a median sternotomy with the aid of a cardiac stabilizer and retractor. A total of 1,117 distal anastomoses were made with a mean of 2.2 ± 1.0 bypass grafts per patient. Only 12 patients (2.3%) required conversion to cardiopulmonary bypass, while 10 patients (1.9%) were re-operated for bleeding or graft failure. Perioperative myocardial infarction occurred in 10 patients (1.9%), and postoperative stroke in 3 patients (0.6%). The overall operative mortality was 2.5%, while the rate for the 48 patients who had previous bypass surgery was 2.1%. The results show that off-pump coronary surgery produces low mortality and morbidity, even in the treatment of multivessel disease or high-risk patients.

This article has been cited by other articles:

				S. G Raja and G. D Dreyfus Current Status of Off-pump Coronary Artery Bypass Surgery Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): 164 - 178. [Abstract] [Full Text] [PDF]