BACKGROUND Coronary artery bypass without cardiopulmonary bypass (CPB) has gained popularity recently with the development of devices that allow for improved exposure and standardization in off pump coronary artery bypass surgery. Off pump coronary artery bypass surgery reduces some of the morbidities traditionally attributed to CPB. The primary goal of off pump coronary artery bypass surgery i...

BACKGROUND The ratio of early transmitral flow velocity to early diastolic velocity of the mitral annulus (E/e') correlates with left ventricular (LV) filling pressure. In particular, an E/e' ratio more than 15 is an excellent predictor of increased LV filling pressure. The authors evaluated the prognostic implications of preoperative estimated LV filling pressure, assessed by E/e' ratio, in pa...

he Randomized On Versus Off Bypass (ROOBY) Tstudy group has produced another interesting article [1]. They used complex and appropriate analytic methods in a cost-effectiveness study of the ROOBY trial [2]. This randomized control trial compared on-pump coronary artery bypass graft surgery (CABG) and off-pump coronary artery bypass graft surgery (OPCABG) in a large cohort of low-risk male patie...

certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (cabg) as compared with the on-pump cabg. the superiority is more evident in patients with multiple co morbidities including renal failure.we reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-sta...

BACKGROUND Off-pump coronary artery bypass graft (CABG) surgery is purported to reduce perioperative mortality and morbidity compared with on-pump coronary bypass graft surgery. However, the outcomes of patients for whom an off-pump strategy must be changed to an on-pump procedure during surgery have not been extensively studied. METHODS AND RESULTS The Merged Cardiac Registry (Health Data Re...

BACKGROUND The purpose of this study was to evaluate the role of intracoronary shunt during off-pump coronary artery bypass surgery. METHODS Fifty-six patients undergoing off-pump coronary artery bypass using the left internal mammary artery to bypass the left anterior descending coronary artery were randomly assigned to have the bypass performed with intracoronary shunt or by occlusive snari...

We describe a patient who underwent off-pump coronary artery bypass graft surgery performed with an aortic connector. The patient developed a malignant deep sternal wound infection that subsequently led to an aortic pseudoaneurysm at the site of proximal anastomosis.

abstract background: improving the patients’ quality of life (qol) after coronary artery bypass grafting (cabg) is one of the main concerns of the treatment team. educational interventions may affect the aspects of qol in various ways. the present study aimed to investigate the effect of education based on the main concepts of logotherapy approach on the cabg patients’ quality of life. material...