The coronary Bypass operation at the beating heart ("off-pump surgery") is a new procedure which promises advantages in comparison to the established procedure with uses a heart-lung machine ("on-pump-surgery"). In the presented HTA report cardiac surgery the question is investigated, whether there are advantages of the off-pump-surgery in comparison to the on-pump-surgery regarding medical eff...

The development of left atrial myxoma after coronary artery bypass graft surgery is a rare entity. A 60-year-old man with previous off-pump coronary artery bypass grafting four years ago with patent coronary grafts was diagnosed with left atrial mass. The patient underwent successful resection of the same through minimally invasive right anterolateral thoracotomy. Histopathology of the atrial m...

Coronary artery disease has historically been a contraindication to lung transplantation. We report a successful combined bilateral lung transplantation and off-pump coronary artery bypass in a 62-year-old man. The patient had a progressive decline in lung function due to idiopathic pulmonary fibrosis and a history of severe occlusive coronary artery disease.

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...

myocardial bridging with systolic compression of the left anterior descending coronary artery (lad) may be associated with myocardial ischemia. in symptomatic myocardial bridging unresponsive to medical treatment, surgical unroofing of the left lad can be performed. little information is available about the long-term prognosis of patients with this coronary anomaly after the surgical unroofing,...

The surgical management of porcelain aorta in patients requiring aortic valve replacement or coronary artery surgery carries a high morbidity and mortality and remains controversial. We report a successful transapical aortic valve implantation in combination with on-pump coronary artery bypass grafting in a young patient with severe aortic stenosis, left main coronary artery disease and porcela...

BACKGROUND Coronary artery bypass grafting without cardiopulmonary bypass is gaining popularity as an alternative to conventional on-pump technique for myocardial revascularization. This includes minimally invasive direct coronary artery bypass (MIDCAB) and full sternotomy off-pump (OPCAB) methods. These two approaches should be evaluated for financial and clinical appropriateness. METHODS Re...

The increased use of the centrifugal pump during coronary artery bypass surgery has been based primarily on theoretical data related to patient safety. There is minimal evidence suggesting improved outcome when compared to the traditional roller pump technology. We prospectively randomized 200 patients undergoing elective coronary artery bypass grafting into centrifugal pump (100 patients) and ...