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European Journal of Cardio-Thoracic Surgery, Vol 12, 516-518, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Complete myocardial revascularization with left heart bypass without oxygenator on the beating heart

O Isik, G Ipek, B Daglar, H Akbas and C Yakut
Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, Istanbul, Turkey. oisik@ibm.net

BACKGROUND: Whereas the complete myocardial revascularization is necessary in high risk group patients, the CABG procedure on the beating heart on circumflex artery still presents a dilemma. METHODS: Between January 1994 and September 1996, we performed complete myocardial revascularization with left heart bypass in 62 patients (54 male, 8 female, mean age: 57) who had absolute or relative contraindications for CPB. RESULTS: The hospital mortality was 3.2%, late mortality was 1.6%. Peroperative MI was seen in 2 patients (3.2%). The mean number of distal anastomosis was 3.6 (ranged 2-6). CONCLUSION: Complete myocardial revascularization on the beating heart can be performed by using left heart bypass (LHBP) without using an oxygenerator safely in high risk patients.




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Copyright © 1997 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.