BACKGROUND The effect of the use of coronary-artery bypass surgery without cardiopulmonary bypass and cardiac arrest ("off pump") on graft patency remains uncertain. We undertook a prospective, randomized, controlled study to compare graft-patency rates and clinical outcomes in off-pump surgery with conventional, "on-pump" surgery. METHODS We randomly assigned 50 patients to undergo on-pump c...

Introduction: Insome cases, assist devices are required to ensure an adequate cardiac output after cardiac surgery. Intra-aortic balloon pump (IABP) is the most commonly used cardiac assist device, which provides first-line support for patients with heart failure. The aim of this study was to determine factors affecting the mortality rate of patients receiving IABP. Materials & Methods:  In thi...

Background: It has not been yet developed a ost suitable method to treat right ventricular failure due to pulmonar artery hypertention resulted from ventricular arrhythia. Though some case reports about patients ready to heart transplant using left assist device or biventral assist device as bridge have been published in Journals, but nocase concerning application of centrifugal pump for treatm...

Aim: To study the incidence and predictorsfor postoperative acute kidney injury in adults undergoing cardiac surgery using cardiopulmonary bypass in Pakistani population Methods: This prospective observational study was performed at the Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, Pakistan over a period of 6 months from 1 st March 2013 to 1 st September 2013. All those...

Effective assistance of the cardiopulmonary system poses a particular technological challenge. In this work we describe an innovative system for temporary heart assistance in critically ill patients, which though minimally invasive – is efficient for recovery of the heart. An Archimedic screw drive that transports the blood out of the left ventricle into the ascending aorta is coupled to a pneu...

The Jarvik 2000 is a continuous axial flow left ventricular assist device (LVAD) with an impeller type pump. It has a unique power delivery system, which is tunneled to a retroauricular skull pedestal in order to minimize driveline infections (1). Conventional implantation of the Jarvik 2000 is performed off-pump through a left postero-lateral thoracotomy, with the outflow conduit anastomosed t...

OBJECTIVES To review the evolution of off-pump coronary artery bypass surgery with particular reference to the anaesthetic and perioperative implications. FINDINGS After review of the literature regarding coronary artery bypass grafting, the adverse effects of cardiopulmonary bypass on the various systems are discussed The development and the present status of off-pump coronary artery bypass ...

PURPOSE To investigate the effects of on-pump and off-pump coronary artery bypass grafting (CABG) on the erectile function and endothelium-derived nitric oxide (eNO) levels. MATERIALS AND METHODS Twenty-eight consecutive patients were randomized into two groups depending on use of cardiopulmonary bypass in CABG surgery. The erectile function was evaluated by using the IIEF-5 questionnaire. Th...

Abstract: Coronary artery disease (CAD) is a multifactorial problem. Although hyperlipidemia (HLP), diabetes (DM), and hypertension (HTN) are known as the familial and cardiac risk factors, CABG is rare in the several members of a family. We reported the six members of a family who presented with MI and/or advanced angina pectoris during the 6 years. CABG(Coronary artery bypass graft) considere...