Coronary artery bypass grafting without cardiopulmonary bypass

Coronary artery bypass grafting without cardiopulmonary bypass

Autor Buffolo, E. Google Scholar
deAndrade, JCS Google Scholar
Branco, JNR Google Scholar
Teles, C. A. Google Scholar
Aguiar, L. F. Google Scholar
Gomes, Walter José Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Background. Coronary artery bypass grafting without cardiopulmonary bypass is now an accepted technique of myocardial revascularization. We herein report our total experience with this procedure.Methods. in a consecutive series of 8,751 patients operated on in our institution for coronary artery disease from 1981 to 1994, 1,274 patients received coronary artery bypass grafting without cardiopulmonary bypass.Results. Results indicate that the operation can be performed with an acceptable mortality (2.5%), and that all types of arterial conduits can be used. Most commonly the left anterior descending and right coronary arteries were bypassed. the incidence of arrhythmias and of pulmonary and neurologic complications were significantly lower in this group of patients compared with patients receiving coronary artery bypass grafting with cardiopulmonary bypass. Most importantly, there was decreased cost when the procedure was used because no extracorporeal circulation, cardioplegia sets, or other cannulas were used.Conclusions. We conclude that the continuing use of coronary artery bypass grafting without cardiopulmonary bypass is justified and that, with proper selection of patients, the procedure is safe and cost-effective.
Idioma Inglês
Data de publicação 1996-01-01
Publicado em Annals of Thoracic Surgery. New York: Elsevier B.V., v. 61, n. 1, p. 63-66, 1996.
ISSN 0003-4975 (Sherpa/Romeo, fator de impacto)
Publicador Elsevier B.V.
Extensão 63-66
Fonte http://dx.doi.org/10.1016/0003-4975(95)00840-3
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:A1996TR81800015
Endereço permanente http://repositorio.unifesp.br/handle/11600/25549

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