Coronary artery bypass grafting (CABG) is a routine procedure, traditionally performed via median sternotomy access on the arrested heart with use of cardiopulmonary bypass (onpump). It is the clinical gold standard for myocardial revascularization in patients with multivessel coronary heart disease but remains associated with significant morbidity and mortality (Borst & Gründeman, 1999). Over ...

the term “stunned myocardium” refers to abnormalities in the myocardial function following reperfusion and is common in on-pump coronary artery bypass grafting (cabg) and is exceedingly rare in off- pump cabg. a 53-year-old man presented with unstable angina due to the severe stenosis of the left anterior descending coronary artery (lad) and the obtuse marginal. laboratory findings and chest x-...

OBJECTIVE In redo coronary artery bypass grafting (CABG), repeat median sternotomy is a routine approach when the graft to the left anterior descending artery (LAD) is occluded. However, it is important to avoid injury to the patent graft to LAD during repeat sternotomy. We retrospectively reviewed our cases to assess our combined strategy for a safer redo CABG. METHODS The study group compri...

OBJECTIVE Cerebral injury, in both overt and subtle forms, is common following cardiac surgery. Current methods of assessment, most commonly neuropsychological testing, have several limitations and do not accurately define the anatomical and functional injury that occurs. We have assessed the degree of cerebral injury following on-pump and off-pump cardiac surgery using functional magnetic reso...

Surgery for coronary artery disease is known as coronary artery bypass grafting (CABG). It was one of the landmark operations in the history of cardiac surgery that rescued millions of people afflicted by coronary artery disease. It was first performed by Kolesov,1 was popularized by Favaloro,2 and is still the leading heart operation performed today. Current reasons for performing CABG are the...

BACKGROUND The purpose of the present study was to assess the preventive effect of preoperative statin treatment on atrial fibrillation (AF) after elective isolated off-pump coronary artery bypass grafting (off-pump CABG) in propensity score-matched Japanese patients. METHODS AND RESULTS Among 770 consecutive patients undergoing isolated CABG by the same surgeon (99.2% with off-pump technique...

BACKGROUND There are some conflicting results with Conventional Coronary Artery Bypass Grafts (CCABG) with arrested heart in coronary high-risk patients. Moreover, performing off-pump CABG in these cases may be associated with serious complications. The objective of this study is to evaluate the efficacy of the on-pump beating CABG (OPBCABG) in coronary high-risk patients in comparison with the...

BACKGROUND Liver dysfunction during on-pump coronary artery bypass graft surgery (CABG) is a rare complication but is associated with significant morbidity and mortality. The ability to identify high-risk patients may be helpful in planning appropriate management strategies. We aimed to evaluate the factors influencing liver function tests during on-pump CABG. METHODS In 146 patients schedule...

OBJECTIVE Although there have been several studies that compared the efficacy of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG), the impact of off-pump CABG (OPCAB) has not been well elucidated. The objective of the present study was to compare the outcomes after PCI, on-pump CABG (ONCAB), and OPCAB in patients with multivessel and/or left main disease. ME...

Introduction: Acute kidney injury (AKI) is a common postoperative complication of cardiac surgery, which is associated with an increased risk of morbidity and mortality. This study investigated the frequency of postoperative AKI in low risk adult patients undergoing off-pump coronary artery bypass grafting (CABG).Materials & Methods: All consecutive adult patients of American Society of Anesthe...