Cardiopulmonary bypass without ischemic arrest: a myocardial protection strategy for high-risk patients requiring urgent CABG.
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.
Akowuah
Enoch
E
Department of Cardiothoracic Surgery, Derriford Hospital, Plymouth NHS Trust, Plymouth Devon, UK. akowuah@yahoo.com
Allen
Simon
S
Marchbank
Adrian
A
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