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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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OPCAB surgery with an alternative retraction method: a single-centre experience.

Erdem Cetin1, Tolga Can1, Celal Selcuk Unal1

  • 1Department of Cardiovascular Surgery, Karabuk University Training and Research Hospital, Karabuk, Turkey.

Cardiovascular Journal of Africa
|July 31, 2019
PubMed
Summary
This summary is machine-generated.

Off-pump coronary artery bypass (OPCAB) surgery offers comparable outcomes to on-pump procedures when performed by experienced surgeons. This study highlights the efficacy and safety of OPCAB in 606 cases.

Keywords:
alternative methodon‐pump coronary artery bypass

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery

Background:

  • Off-pump coronary artery bypass (OPCAB) is an alternative to cardiopulmonary bypass surgery, aiming to mitigate side effects.
  • The efficacy and safety of OPCAB are subjects of ongoing debate, with surgeon experience being a critical factor.
  • This study presents findings from 606 OPCAB cases utilizing an alternative retraction technique.

Purpose of the Study:

  • To evaluate the efficacy and safety of the off-pump coronary artery bypass (OPCAB) technique.
  • To assess the impact of surgeon experience on OPCAB outcomes.
  • To report the results of 606 OPCAB cases using a specific retraction method.

Main Methods:

  • Retrospective analysis of 606 OPCAB operations conducted between January 2014 and December 2018.
  • All patients were evaluated and operated on by a surgical team led by a surgeon with extensive OPCAB experience (over 200 prior surgeries).

Main Results:

  • The study included 606 patients (21.8% female, 78.2% male).
  • The mortality rate was 1.7% (10 patients), with only two experiencing cerebrovascular incidents.
  • A statistically significant improvement (p < 0.01) was observed in left ventricular ejection fraction at six months post-surgery compared to pre-operative values.

Conclusions:

  • The off-pump coronary artery bypass (OPCAB) technique demonstrates comparable results to on-pump surgery.
  • Surgeon experience is a crucial determinant of successful OPCAB outcomes.
  • The findings support the feasibility and effectiveness of OPCAB when performed by experienced surgical teams.