Open AccessON-PUMP BEATING HEART MYOCARDIAL REVASCULARIZATION FOR HIGH RISK PATIENTS
Author(s) -
Aleksandr Zotov,
Зотов Александр Сергеевич,
Т. В. Клыпа,
Клыпа Татьяна Валерьевна,
Daniil Borisov,
Борисов Даниил Валерьевич,
M. V. Ilyin,
Ильин Михаил Витальевич
Publication year - 2016
Publication title -
kliničeskaâ praktika
Language(s) - English
Resource type - Journals
eISSN - 2618-8627
pISSN - 2220-3095
DOI - 10.17816/clinpract7346-52
Subject(s) - medicine , carotid endarterectomy , ejection fraction , cardiology , heart failure , revascularization , aneurysm , surgery , stroke (engine) , artery , endarterectomy , myocardial infarction , stenosis , mechanical engineering , engineering
107 patients with mean ejection fraction 40,6±7,4% underwent on-pump-beating heart coronary revascularization and associated procedures. There were 76 men and 31 women, with a mean age of 68,9±7,8 years. Five patients required carotid endarterectomy and twelve patients required left ventricular aneurysm repair. 5 patients underwent carotid endarterectomy and 12 patients - left ventricular aneurysm repair. The mean number of graft/patient was 2,9±0,8. Postoperatively occurred the following complications: acute ischemic stroke - 1 (0.9%), acute heart failure - 1 (0.9%), respiratory failure - 2 (1.9%) and bleeding required surgical revision - 1 (0.9%). Hospital mortality rate was 0,9% (1 of the 107 patients). On-pump beating heart technique is a safe and efficient method for coronary artery bypass grafting and associated procedures (carotid endarterectomy, left ventricular aneurysm repair).