Coronary artery bypass surgery on the beating heart.

F. Tarr, A. Somogyi

Research output: Contribution to journalArticle

Abstract

Authors report their experiences with coronary artery bypass surgery without cardiopulmonary bypass. Between January 1993 and June 1995, 151 patients were operated upon by the same surgeon for ischaemic heart disease (IHD); 7 were of them without extracorporeal circulation (ECC). Patients were selected for the procedure on the following criteria: (1) symptomatic patient with proximally occluded, anteriorly located, major subepicardial artery(ies) unsuitable for, or after failed, PTCA; (2) presence of associated disease (like hypertension, diabetes mellitus, chronic obstructive pulmonary disease) enhancing a possible deleterious effect of cardiopulmonary bypass; (3) favourable response to beta-blocking agent pretreatment without side effects. Seven patients' perioperative data (white cell count, platelet count, whole plasma protein level, chest drainage, CK-MB release--incidence of perioperative myocardial mess loss--and days spent in the intensive care unit /ICU/) are compared to the corresponding data of patients with comparable pathology operated on with ECC. No blood transfusion was required, nor perioperative myocardial necrosis occurred. The patients operated on without ECC spent only 24 hours in the ICU, and the clinical check-up after 1-24 months revealed conditions free from angina pectoris. The patient's quality of life improved.

Original languageEnglish
Pages (from-to)35-47
Number of pages13
JournalActa Chirurgica Hungarica
Volume35
Issue number1-2
Publication statusPublished - 1995

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Coronary Artery Bypass
Extracorporeal Circulation
Cardiopulmonary Bypass
Angina Pectoris
Platelet Count
Blood Transfusion
Chronic Obstructive Pulmonary Disease
Myocardial Ischemia
Intensive Care Units
Blood Proteins
Drainage
Diabetes Mellitus
Necrosis
Thorax
Arteries
Cell Count
Quality of Life
Pathology
Hypertension
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Coronary artery bypass surgery on the beating heart. / Tarr, F.; Somogyi, A.

In: Acta Chirurgica Hungarica, Vol. 35, No. 1-2, 1995, p. 35-47.

Research output: Contribution to journalArticle

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