Background: Cerebrovascular events are the most common cause of disability in adults and can be classified into two categories: ischemic stroke hemorrhagic stroke. Risk factors for include age, gender, race, family history stroke, hypertension, smoking, heart disease, valvular arrhythmias, diabetes, obesity, dyslipidemia. Low cardiac output syndrome, myocardial infarction, atrial fibrillation a...

Introduction: Acute kidney injury (AKI) is a common postoperative complication of cardiac surgery, which is associated with an increased risk of morbidity and mortality. This study investigated the frequency of postoperative AKI in low risk adult patients undergoing off-pump coronary artery bypass grafting (CABG).Materials & Methods: All consecutive adult patients of American Society of Anesthe...

Coronary Artery Surgery To the Editor: Van Dijk and colleagues1 are to be congratulated on the contribution of their randomized trial to the on-pump versus off-pump coronary artery bypass surgery debate and, in particular, the discussion of the high proportion of patients undergoing total arterial revascularization. Most of the pertinent points are covered in Dr Yacoub’s balanced accompanying e...

Off-pump coronary artery bypass surgery has been adopted enthusiastically worldwide. However, despite more than 6 years' experience and refinement, many surgeons use it only sporadically and some hardly at all. This reluctance persists despite support for the procedure because of the lack of properly designed risk models and/or randomized studies. Although it has not been overwhelmingly shown t...

O coronary artery bypass (OPCAB) is a technique of performing coronary anastomosis on a beating heart without instituting cardiopulmonary bypass (CPB). Coronary stabilizers (CS) are used for local cardiac wall immobilization and access to the heart can be achieved by a lateral, anterolateral, subxyphoidal or midsternal incision. With median sternotomy and use of CS, all sides of the heart can b...

BACKGROUND Off-pump coronary artery bypass grafting compared with coronary revascularization with cardiopulmonary bypass seems safe and results in about the same outcome in low-risk patients. Observational studies indicate that off-pump surgery may provide more benefit in high-risk patients. Our objective was to compare 30-day outcomes in high-risk patients randomized to coronary artery bypass ...

Coronary revascularisation plays an important role in the management of patients with ischaemic heart disease. Its principle builds on restoring antegrade flow thereby relieving angina. As a result, the need for medication is reduced which, in turn, may improve quality of life and socioeconomic independency. Also the prognosis is beneficially affected. This is not only true for patients with se...