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Left Heart Pump-Assisted Beating Heart Coronary Surgery in High-Risk Patients

Department of Cardiothoracic Surgery, Clinica Pineta Grande, Castel Volturno
¹ Department of Cardiac Surgery, University "Federico II", Naples, Italy

For reprint information contact: Paolo Pepino, MD, Tel: 39 082 385 4246, Fax: 39 082 385 4439, Email: paolo.pepino{at}fastwebnet.it, Via A. Manzoni 78, 80123 Naples, Italy.

A simple technique of left ventricular assistance, offering the advantages of both cardiopulmonary bypass and off-pump revascularization, was adopted for high-risk patients. It was used in 56 patients with critical left main stenosis and occluded right coronary artery, severely reduced ejection fraction and/or unstable angina. All patients underwent complete and successful myocardial revascularization (3.4 grafts per patient). Weaning from the pump was uncomplicated, and none required conversion to full cardiopulmonary bypass.