t i a r o b n a a n t r s c g d eft internal mammary artery to left anterior descending oronary artery bypass grafting integrated with percutaeous coronary angioplasty (hybrid procedure) offers ultivessel revascularization with minimal morbidity in igh-risk patients. This is caused in part by the avoidnce of cardiopulmonary bypass–related morbidity and anipulation of the aorta coupled with mini...

Coronary artery disease remains a major cause of mortality and morbidity with systemic lupus erythematosus (SLE). We report two cases of coronary artery bypass grafting (CABG) associated with SLE. The first patient (a 45-year-old woman) underwent CABG operation for left main and two-vessel coronary disease using cardiopulmonary bypass. Successful CABG was done using off-pump technique in the se...

BACKGROUND The left internal mammary artery (LIMA) to left anterior descending coronary artery (LAD) graft is the most important graft in coronary artery bypass graft surgery.1 The length of the LIMA is fixed and situations may arise when this is inadequate.2 This may not be apparent during the cardiopulmonary bypass until after the anastomosis has been performed and the lungs re-expanded. We d...

Currently coronary artery bypass grafting (CABG) is the most commonly used procedure for revascularization of coronary heart disease. However it may not be suitable for the patients with diffuse coronary artery lesions, for which endarterectomy is a way but it’s not feasible to thin coronary artery without inner lumen or to the immature plaque. In this case, it may be a proper therapeutic optio...

Background: With the evolution of anesthesia and surgical procedures, fast track extubation has gained an increased interest, mainly based on the possibility of reducing health costs seemingly without compromising patient care. Aim: To compare two groups of patients submitted to a non-fast track extubation and a fast track extubation protocol after coronary artery bypass graft surgery with card...

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...

OBJECTIVE We present operative results of aortic arch aneurysm associated with coronary artery stenosis, and evaluate the operative risk of graft replacement of the aortic arch and concomitant coronary artery bypass grafting (CABG). PATIENTS AND METHODS From January 1991 to December 2001, we treated 16 patients with aortic arch aneurysm and coronary artery stenosis. The patients, 3 women and ...

heparin- induced thrombocytopenia (hit) is an antibody mediated adverse effect of heparin therapy which is classified into two subtypes, hit i which is non-immune, spontaneously reversible thrombocytopenia and; hit ii which is an autoimmune-mediated adverse effect of heparin therapy. in this case report, we described a 65-year old male patient with hit ii after coronary artery bypass grafting. ...