INTRODUCTION The use of coronary artery bypass surgery (CABG) with cardiopulmonary bypass (CPB) or without CPB technique (off-pump) can be associated with different mortality and morbidity and their outcomes remain uncertain. The goal of this study was to evaluate the early outcome of on-pump versus off-pump CABG. METHODS We conducted a retrospective database review of 13866 patients (13560 p...

background: the prevalence of patients with severe left ventricular dysfunction (lvd) referred for coronary artery bypass grafting (cabg) is increasing. preoperative lvd is an established risk factor for early and late mortality after revascularization. the aim of the present study was to assess the early outcome of patients with severe lvd undergoing cabg. methods: between december 2012 and no...

According to the annual registry of the Japanese Association for Coronary Artery Surgery, the percentage of off-pump coronary artery bypass grafting (CABG) procedures performed in Japan in recent years has increased rapidly, comprising of more than 60% of all CABG procedures in 2004. This widespread use of off-pump CABG is mostly owing to the recent technological advances in devices that are sp...

OBJECTIVES To investigate the combined influence of blood flow and haemodilution with either a miniaturized (Mini-CPB) or a conventional cardiopulmonary bypass (C-CPB) circuit on average oxygen delivery during bypass. The influence of this on clinical outcome, particularly renal dysfunction after routine coronary artery bypass surgery (CABG), was measured. METHODS Retrospective analysis in tw...

BACKGROUND Emphasis on cost containment in coronary artery bypass surgery is becoming increasingly important in modern hospital management. The revival of interest in off-pump (beating heart) coronary artery bypass surgery may influence the economic outcome. This study examines these effects. METHODS Two hundred patients undergoing first-time coronary artery bypass surgery were prospectively ...

A 72-year-old man with an ejection fraction of 25% is scheduled to undergo elective coronary artery bypass graft using cardiopulmonary bypass. Because of the high-risk nature of the operation, the surgeon wants to insert an intraaortic balloon pump (IABP) before initiating cardiopulmonary bypass. An intraoperative transesophageal echocardiogram (TEE) is requested to ensure correct placement.

Introduction: Heart failure is a major hazard for public health. Despite recent advance in medical therapy, there is not enough information on the outcome of off-pump coronary artery bypass (OPCAB) and medical therapy on the patients with severe ventricular dysfunction and triple-vessel (CAD). This study aimed to compare treatment outcomes and mortality rate in patients undergoing off-pump coro...

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...

A patient with ulcerated gastric cancer causing mild anaemia and simultaneous three-vessel coronary artery disease (CAD) underwent "off pump" coronary artery bypass grafting (OP-CABG) and total D2 gastrectomy.