conclusions: in the present study, applying positive airway pressure methods (cpap or imv) during cpb was associated with better postoperative abg measurements and (a-a) do2. results: the demographic data were similar in between three groups. graft number, pump time and preoperative abgs were not significantly different. postoperative pao2 were significantly higher in the cpap and imv groups an...

patients with coronary artery disease and left ventricular dysfunction have high mortality with non surgical (medical) treatment. coronary artery bypass grafting improves survival and the quality of life. recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. the aim of this study was to survey the result of coronary artery bypass grafting with of...

conclusions in cabg with cardiopulmonary bypass, using plasma cortisol level as a measure, isoflurane-sufentanil significantly reduces the stress response to the surgery, when compared to propofol-sufentanil. results compared to the baseline (t0), at the end of cardiopulmonary bypass (t1), both groups demonstrated a decrease in plasma cortisol levels with no statistical significant difference (...

BACKGROUND Whether off-pump coronary artery bypass grafting has a late renal protective advantage over conventional coronary arterial bypass grafting with cardiopulmonary bypass use is controversial. METHODS From 1997 to 2004, 2102 cases of isolated coronary arterial bypass grafting were collected and analyzed, 1116 (53%) in the cardiopulmonary bypass group and 986 (47%) in the off-pump coron...

Surgical treatment for diffusely diseased coronary arteries has been considered to be a relative contraindication for off pump coronary artery bypass (OPCAB) grafting. We report a case of off pump long-onlay-bypass grafting using the left internal mammary artery. To our knowledge, the long-onlay-patch grafting with OPCAB technique has not been previously described. Two sets of Octopus-3 tissue ...

background: liver ischemic insults are important sources of liver injuries leading to production of reactive oxygen species (ros) and mediating liver cell injury. glutathione mediated mechanisms are among the most important defense mechanisms of the liver; n-acetylcysteine (nac) provides cysteine for glutathione defense mechanisms. patients undergoing cardiac surgery are at increased risk of li...

Ascending aortic aneurysms are usually treated with graft replacement under cardiopulmonary bypass. However, if a candidate for off-pump coronary artery bypass grafting has an enlarged ascending aorta, surgeons may consider wrapping it without cardiopulmonary bypass. Here, we report a 78-year-old female who underwent successful wrapping of the ascending aorta concomitant with off-pump coronary ...

Background/Introduction Acute kidney injury (AKI) occurs in up to 30% of patients undergoing coronary artery bypass grafting. Development of kidney injury is associated with high overall mortality and a more complicated hospital course. Cardiopulmonary bypass is considered as one of the major risk factors for developing AKI. Off-pump coronary artery bypass (OPCAB) grafting eliminates the need f...

OBJECTIVES To demonstrate that small intestinal mucosal ischemia occurs during cardiopulmonary bypass by measuring serum diamine oxidase activity, an index of small intestinal mucosal ischemia, in perioerative patients undergoing cardiovascular surgery with and without cardiopulmonary bypass. METHODS Twelve successive patients who underwent coronary artery bypass grafting with cardiopulmonary...

OBJECTIVE Coronary artery bypass grafting is currently the best treatment for dialysis patients with multivessel coronary artery involvement. Vasoplegic syndrome of inflammatory etiology constitutes an important postoperative complication, with highly negative impact on prognosis. Considering that these patients have an intrinsic inflammatory response exacerbation, our goal was to evaluate the ...