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Eur J Cardiothorac Surg 1999;16:S112-S116
© 1999 Elsevier Science NL

Evaluation of myocardial metabolism and function during beating heart coronary surgery

The Bristol Heart Institute, University of Bristol, Bristol Royal Infirmary, BS2 8HW, Bristol, UK

^* Corresponding author. Tel.: +44-117-928-3145; fax: +44-117-929-9737 (Email: n.holloway-dee{at}bristol.ac.uk).

Coronary artery bypass surgery on the beating heart either via a left anterior small thoracotomy (LAST) or a median sternotomy is becoming increasing popular world-wide. Concern still remains about the potential for a temporary regional myocardial ischaemia associated with the stabilisation and occlusion of the coronary during construction of the anastomosis. This review summarises the results of a series of studies intended to evaluate the effect of beating heart coronary revascularization on myocardial function, myocardial tissue injury and clinical outcome.

Key Words: Off-pump coronary surgery • Myocardial function