Related Experiment Video

Updated: Jul 12, 2026

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

Off-pump total myocardial revascularization in patients with left ventricular dysfunction

Rodrigo Milani1, Brofman Paulo, José Augusto Moutinho

  • 1Serviço de Cirurgia Cardiovascular, Santa Casa de Misericórdia, PUC, Curitiba, PR, Brasil. grmilani@cardiol.br

Arquivos Brasileiros De Cardiologia
|September 5, 2007
PubMed

Insights

Off-pump myocardial revascularization is a safe and effective treatment for patients with left ventricular dysfunction. This technique offers a viable alternative for high-risk individuals, demonstrating better outcomes than predicted by EuroSCORE.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Minimally Invasive Cardiac Surgery

Background:

  • Significant left ventricular dysfunction poses a high risk for traditional cardiac surgery.
  • Off-pump techniques aim to reduce complications associated with cardiopulmonary bypass.
  • Assessing novel surgical approaches is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of off-pump myocardial revascularization.
  • To assess outcomes in patients with ejection fraction < 35%.
  • To determine the suitability of this technique for high-risk surgical candidates.

Main Methods:

  • Myocardial revascularization was performed without extracorporeal circulation in 405 patients.
  • Procedures utilized a suction stabilizer and the LIMA stitch technique.
  • Distal anastomoses were prioritized, with a mean of 3.03 anastomoses per patient.

Main Results:

  • The study included 405 patients with a mean ejection fraction of 27.2%.
  • Complication rates were low, including 0.49% renal failure and 1.2% acute myocardial infarction.
  • Mortality was 4.4%, with outcomes superior to predicted EuroSCORE values.

Conclusions:

  • Off-pump myocardial revascularization is a safe and effective option for patients with left ventricular dysfunction.
  • This technique serves as a valuable alternative for high-risk surgical candidates.
  • Observed results surpassed expectations based on pre-operative risk scores.
Abstract

More Related Videos

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...