"On-Pump" CABG on the Beating Heart: Two case report.
- Author:
Jong Mok SHIN
1
;
Ki Bong KIM
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine.
- Publication Type:Case Report
- Keywords:
Coronary artery bypass;
Minimally invascive Surgery;
Surgery Method
- MeSH:
Angioplasty, Balloon, Coronary;
Coronary Artery Bypass;
Coronary Vessels;
Heart*;
Humans;
Shock, Cardiogenic
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(5):480-483
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The widely accepted method for coronary artery bypass grafting(CABG) is performing the distal coronary artery anastomoses on the flaccid and nonbeating heart with the aid of cardiopulmonary bypass(CPB) and cardioplegic arrest. However, current cardioplegic techniques are not consistent in avoiding myocardial ischemic damages especially in high risk patients undergoing CABG. In this regard, "Off-Pump" seems to be an ideal method for preventing myocardial ischemic damage and adverse effects during CPB. However, "Off-pump" CABG is not always technically feasible. We report 2 cases of "On-pump" CABG performed on the beating heart in high risk patients; The first patient had left ventricular dysfunction(Ejection Fraction=25%), and the second patient had cardiogenic shock after percutaneous transluminal coronary angioplasty.
