[Is it unnecessary to attach a temporary pacing wire in off-pump coronary artery bypass?].
In open heart surgery, the efficacy of temporary pacing to control perioperative cardiac dysrhythmias is well known. However, a temporary pacing wire is not routinely attached during minimally invasive direct coronary artery bypass because of its less invasiveness. In case of off-pump coronary artery bypass (OPCAB) with mediansternotomy, is it also unnecessary? We report 2 patients undergoing OPCAB without postoperative temporary pacing wire who suffered from possibly fatal rhythm disturbances after operation, and needed long hospitalization. After these experiences, we routinely attach a temporary pacing wire during OPCAB with mediansternotomy. We believe, in case of OPCAB, a temporary pacing wire is as effective as in conventional CABG.
Ashida
Y
Y
Department of Cardiovascular Surgery, Matsue City Hospital, Matsue, Japan.
Tonomoto
N
N
D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures