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On-pump beating heart coronary revascularization: Is it valid for emergency revascularization?

Ahmet Aydin, Bilgehan Erkut1

  • 1Bilgehan Erkut, Prof, MD, Cardiovascular Surgery,, Erzincan University Medical Faculty,, Gazi Mengücek Training and Research Hospital,, 24000, Erzincan, Turkey, T: + 90 533 7451006, F: + 90 442 2326405, bilgehanerkut@yahoo.com.

Annals of Saudi Medicine
|September 4, 2015
PubMed

Insights

On-pump beating heart coronary artery bypass grafting (CABG) offers a viable option for emergency revascularization in acute coronary syndrome patients. This technique demonstrated acceptable early outcomes in high-risk individuals with multivessel coronary artery disease.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Minimally Invasive Cardiac Surgery

Background:

  • On-pump beating heart coronary artery bypass grafting (CABG) is an alternative to conventional on-pump surgery for acute coronary syndrome requiring emergency revascularization.
  • This study details clinical experience and early outcomes of on-pump beating heart CABG in acute coronary syndrome patients.

Purpose of the Study:

  • To evaluate the clinical experience and early outcomes of on-pump beating heart coronary artery bypass grafting (CABG) in patients with acute coronary syndrome.
  • To assess the safety and efficacy of this technique as an emergency revascularization strategy.

Main Methods:

  • Retrospective study conducted between August 2009 and October 2015 at a regional training and research hospital in Turkey.
  • Included 316 patients who underwent isolated on-pump beating heart CABG without cardioplegic arrest by a single surgeon.
  • Compared outcomes against conventional CABG procedures.

Main Results:

  • The average time from acute myocardial infarction onset to CABG was 10 hours.
  • Hospital mortality was 2.9% (9 patients); 12 patients experienced low cardiac output syndromes, with 8 developing renal dysfunction (none requiring hemodialysis).
  • Mean intensive care unit stay was 3 days, and mean hospital length of stay was 7 days.

Conclusions:

  • On-pump beating heart revascularization is a suitable option for emergency CABG in high-risk patients with multivessel coronary artery disease.
  • The technique shows promising early outcomes, suggesting its potential as a valuable alternative surgical approach.
Abstract

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