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Related Experiment Video

Updated: Jun 5, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

[Multiple aortocoronary bypass without artificial circulation].

P O Kazanchian, V A Popov, P G Sotnikov

    Vestnik Rossiiskoi Akademii Meditsinskikh Nauk
    |January 25, 2011
    PubMed
    Summary

    Direct myocardial revascularization without cardiopulmonary bypass is effective for severe coronary artery disease. This beating heart surgery offers reliable results, making it suitable for most patients needing bypass procedures.

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    Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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    Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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    Related Experiment Videos

    Last Updated: Jun 5, 2026

    Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
    13:10

    Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

    Published on: April 24, 2017

    Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft
    05:25

    Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

    Published on: September 15, 2023

    Novel and Innovative Hybrid Technique for Type A Aortic Dissection
    06:26

    Novel and Innovative Hybrid Technique for Type A Aortic Dissection

    Published on: March 28, 2025

    Area of Science:

    • Cardiovascular Surgery
    • Cardiac Surgery
    • Interventional Cardiology

    Context:

    • Presents results from 145 surgeries for direct myocardial revascularization (off-pump coronary artery bypass grafting).
    • Patients predominantly had severe angina (FC III-IV, 80.6%), acute coronary syndrome (6.5%), and prior myocardial infarction (63.8%).
    • Significant proportion had reduced left ventricular ejection fraction (<40% in 28.8%) and complex coronary artery disease (multi-vessel, left main stenosis).

    Purpose:

    • To evaluate the efficacy and safety of off-pump myocardial revascularization in patients with complex coronary artery disease.
    • To assess immediate and late postoperative outcomes, including complications and graft patency.
    • To determine the suitability of off-pump coronary artery bypass grafting (CABG) for a broad range of patients.

    Summary:

    • Off-pump CABG demonstrated excellent results with no perioperative myocardial infarction, stroke, or organ insufficiency.
    • Low rates of postoperative complications: 0.9% required resternotomy for hemorrhage, 1.2% for suppurative issues.
    • High frequency of complete autoarterial revascularization (42.7%) using sequential and composite grafts.

    Impact:

    • Establishes off-pump myocardial revascularization as an efficacious and reliable surgical method with good short- and long-term outcomes.
    • Highlights the critical role of surgical experience in managing complex coronary artery disease and comorbidities.
    • Suggests that off-pump CABG is a viable option for nearly all patients requiring bypass surgery, irrespective of coronary anatomy.