[Beating heart coronary artery bypass: 100 cases]

Area of Science:

• Cardiovascular Surgery
• Cardiac Anesthesia

Context:

• Coronary artery bypass grafting (CABG) traditionally involves cardiopulmonary bypass, which is associated with potential risks.
• Off-pump CABG (OPCAB) has emerged as an alternative surgical strategy.
• This study evaluates the outcomes of OPCAB in a cohort of patients.

Purpose:

• To assess the clinical outcomes and safety of off-pump coronary artery bypass grafting.
• To determine the efficacy of beating heart surgery in patients with complex coronary artery disease.

Summary:

• A 7-year study of 100 patients undergoing first-time OPCAB demonstrated favorable postoperative results.
• Key outcomes included low rates of inotrope use (42%), atrial fibrillation (9.4%), and transfusion (27.3%).
• The majority of patients (94.7%) were extubated within 48 hours, with a hospital mortality rate of 10.5%.

Impact:

• Off-pump CABG provides good immediate results, even for patients with multi-vessel disease and those considered high-risk.
• This approach may offer a safer alternative to traditional CABG with cardiopulmonary bypass.
• The findings support the use of OPCAB in selected patient populations.