title: Complete myocardial revascularization with left heart bypass without oxygenator on the beating heart.
abstract: BACKGROUND
  Whereas the complete myocardial revascularization is necessary in high risk group patients, the CABG procedure on the beating heart on circumflex artery still presents a dilemma.
  
  
  METHODS
  Between January 1994 and September 1996, we performed complete myocardial revascularization with left heart bypass in 62 patients (54 male, 8 female, mean age: 57) who had absolute or relative contraindications for CPB.
  
  
  RESULTS
  The hospital mortality was 3.2%, late mortality was 1.6%. Peroperative MI was seen in 2 patients (3.2%). The mean number of distal anastomosis was 3.6 (ranged 2-6).
  
  
  CONCLUSIONS
  Complete myocardial revascularization on the beating heart can be performed by using left heart bypass (LHBP) without using an oxygenerator safely in high risk patients.
authors.affiliation: Department of Cardiovascular Surgery, Koşuyolu Heart and Research Hospital, Istanbul, Turkey. oisik@ibm.net
authors.forename: O
authors.initials: O
authors.lastname: Işik
authors.forename: G
authors.initials: G
authors.lastname: Ipek
authors.forename: B
authors.initials: B
authors.lastname: Dağlar
authors.forename: H
authors.initials: H
authors.lastname: Akbaş
authors.forename: C
authors.initials: C
authors.lastname: Yakut
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002315:Cardiopulmonary Bypass; D000075202:Contraindications; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D003327:Coronary Disease / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D018611:Heart Bypass, Left / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D010106:Oxygenators; D018579:Patient Selection; D012307:Risk Factors