title: Cardiopulmonary bypass without ischemic arrest: a myocardial protection strategy for high-risk patients requiring urgent CABG.
abstract: For patients requiring emergency coronary artery revascularization, mortality remains high. One of the primary reasons is poor functional and metabolic recovery of the myocardium after ischemic arrest. We describe a hybrid of the off-pump and on-pump techniques to avoid ischemic arrest during coronary revascularization for this high-risk group.
authors.affiliation: Department of Cardiothoracic Surgery, Derriford Hospital, Plymouth NHS Trust, Plymouth Devon, UK. akowuah@yahoo.com
authors.forename: Enoch
authors.initials: E
authors.lastname: Akowuah
authors.forename: Simon
authors.initials: S
authors.lastname: Allen
authors.forename: Adrian
authors.initials: A
authors.lastname: Marchbank
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000601:surgery*; D006323:Heart Arrest / Q000209:etiology / Q000517:prevention & control; D006324:Heart Arrest, Induced / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*; D015428:Myocardial Reperfusion Injury / Q000209:etiology / Q000517:prevention & control; D012307:Risk Factors; D016019:Survival Analysis; D016896:Treatment Outcome