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[Off-pump coronary artery bypass grafting/beating coronary artery bypass grafting for a patient with low left

K Senda1, K Kotoh, K Fukahara

  • 1Department of Surgery, Toyama Medical and Pharmaceutical University, Toyama, Japan.

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

Insights

Beating coronary artery bypass grafting is now feasible for patients with severely reduced left ventricular ejection fraction (LVEF). This surgical approach significantly improved LVEF in a patient previously considered ineligible for conventional bypass surgery.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Anesthesia
  • Cardiology

Background:

  • Conventional coronary artery bypass grafting (CABG) is typically contraindicated in patients with a left ventricular ejection fraction (LVEF) below 20%.
  • Off-pump CABG (OPCAB) and beating CABG have emerged as potentially safer alternatives for high-risk patients due to lower complication rates.

Observation:

  • A 47-year-old male patient with a severely impaired LVEF of 9.3% underwent beating coronary artery bypass grafting.
  • Percutaneous cardio-pulmonary support (PCPS) was utilized during the procedure to facilitate bypassing the circumflex artery.

Findings:

  • The patient successfully underwent beating coronary artery bypass grafting despite his extremely low LVEF.
  • Post-operative assessment revealed a significant improvement in LVEF to 51.6%.

Implications:

  • This case demonstrates the potential for beating CABG in patients with previously prohibitive LVEF.
  • The findings suggest that OPCAB or beating CABG, with appropriate support, can expand treatment options for patients with severe left ventricular dysfunction.

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