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[Coronary artery bypass grafting without cardiopulmonary bypass: MIDCAB and OPCAB]

M Okada1, J Tatoulis

  • 1Department of Cardiovascular Surgery, Okayama University, Medical School, Okayama, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 13, 2002
PubMed

Insights

Minimally invasive direct coronary artery bypass grafting (MIDCAB) and off-pump coronary artery bypass grafting (OPCAB) offer less invasive alternatives to traditional CABG. These techniques demonstrated excellent angina symptom resolution and low complication rates in our patient cohort.

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Cardiac Surgery

Context:

  • Conventional coronary artery bypass grafting (CABG) carries significant risks.
  • Minimally invasive direct coronary artery bypass grafting via left anterior small thoracotomy (MIDCAB) and coronary artery bypass grafting without cardiopulmonary bypass (OPCAB) have emerged as less invasive alternatives.

Purpose:

  • To report the authors' experience and outcomes with MIDCAB and OPCAB procedures.
  • To evaluate the efficacy and safety of these less invasive coronary artery bypass grafting techniques.

Summary:

  • A total of 176 patients underwent MIDCAB or OPCAB between 1996 and 1999.
  • Various grafts were utilized, including internal thoracic arteries and radial artery conduits.
  • The study reported a low mortality rate (0.6%), a low rate of perioperative myocardial infarction (0.6%), and no cerebrovascular accidents or severe wound infections.

Impact:

  • 174 patients (98.8%) experienced resolution of angina symptoms, highlighting the effectiveness of these procedures.
  • MIDCAB and OPCAB demonstrate favorable safety profiles and significant symptom relief for patients undergoing coronary artery bypass grafting.

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