PURPOSE A multidisciplinary project was undertaken at The New York Hospital-Cornell Medical Center to develop critical pathways for open-heart surgery to help reduce cost, shorten hospital length of stay (LOS), and streamline patient care. METHODS A critical pathway for elective coronary artery bypass grafting instituted on March 1, 1995, was developed through a cooperative effort involving s...

INTRODUCTION Coronary artery bypass grafting is a safe procedure performed worldwide with low rates of mortality and morbidity in general population. OBJECTIVE To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery. METHODS A total of 1,628 consecutive patients undergoing on-pump coronary artery bypass graftin...

Coronary artery bypass grafting is one of the routine daily surgical procedures in the current era. Parallel to the increasing life expectancy, cardiac surgery is commonly performed in octogenarians. However, literature consists of only seldom reports of coronary artery bypass grafting in patients above 90 years of age. In this report, we present our management strategy in a 105-year-old patien...

Bronchiectasis is characterized by the abnormal and permanent dilatation of bronchi. Clinical manifestations of bronchiectasis include persistent or recurrent cough, purulent sputum, hemosputum, and hemoptysis. A 75-year-old man with bronchiectasis required coronary bypass grafting for unstable angina pectoris with severe stenosis of the left main trunk. Computed tomography showed fistulae betw...

BACKGROUND Coronary artery bypass grafting currently is the best treatment for dialytic patients with multivessel coronary disease, but hospital morbidity and mortality related to procedure is still high. OBJECTIVE Evaluate results and in-hospital outcomes of coronary artery bypass grafting in dialytic patients. METHODS Retrospective unicentric study including 50 consecutive and not selecte...

OBJECTIVE To evaluate the changes in cerebral blood flow during awake off-pump coronary artery bypass grafting and compare with the changes during off-pump coronary artery bypass grafting under general anesthesia, using continuous monitoring of regional cerebral oxygen saturation. METHODS The study population comprised 3 groups of patients who had undergone off-pump coronary artery bypass gra...

In coronary artery surgery the superiority of the internal mammary artery graft in 10-year survival was documented in 1986. In 1999 it was demonstrated that death, reoperation and percutaneous transluminary coronary angioplasty were more frequent in patients undergoing single rather than bilateral internal mammary artery grafting. Today coronary artery bypass grafting surgery is challenged by t...

Subclavian steal syndrome is known as reverse flow from vertebral artery to subclavian artery due to occlusion of proximal subclavian artery. Occlusive process leading to syndrome is common in left subclavian artery. Coronary-subclavian steal syndrome may happen by reverse flow in left internal thoracic artery with occlusion in subclavian artery of patients who were performed coronary artery by...