Off-pump coronary artery bypass grafting for acute myocardial infarction.
BACKGROUND
The aim of this study was to evaluate the surgical results of off-pump coronary artery bypass grafting (OPCAB) for patients with acute myocardial infarction (AMI) within 14 days of the infarction.


RESULTS
From April 2000 to January 2005 among 841 patients who underwent OPCAB, 43 consecutive patients (5.1%) were examined. Mean age at operation was 69.5 years and mean time from the onset of AMI to surgery was 4.6 days. Seventeen patients (39.5%) had left main trunk disease. Three patients (7.0%) underwent OPCAB following unsuccessful percutaneous coronary intervention, and 1 patient (2.3%) underwent redo procedure 9 years after previous coronary artery bypass grafting (CABG). Six patients (14%) were admitted in cardiogenic shock. Intraaortic balloon pumping was inserted preoperatively in 20 patients (46.5%). The average maximum creatine kinase-myocardial band was 139+/-181 (U/L). The mean number of grafts was 3.2 and the rate of complete revascularization was 91%. Two of six patients with preoperative cardiogenic shock were converted to on-pump beating CABG due to ventricular arrythmia. The early graft patency rate was 98%. All patients survived except 2 with preoperative cardiogenic shock.


CONCLUSIONS
OPCAB can be performed after AMI as a relatively low-risk procedure with an acceptable mortality rate, even within 14 days of the infarction.
Takai
Hideaki
H
Cardiovascular Surgery, National Cardiovascular Center, Fujishirodai, Suita, Japan.
Kobayashi
Junjiro
J
Tagusari
Osamu
O
Bando
Ko
K
Niwaya
Kazuo
K
Nakajima
Hiroyuki
H
Yagihara
Toshikatsu
T
Kitamura
Soichiro
S
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D047549:Coronary Artery Bypass, Off-Pump / Q000401:mortality / Q000592:standards*; D003402:Creatine Kinase / Q000032:analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000601:surgery*; D009204:Myocardial Revascularization; D012770:Shock, Cardiogenic; D013575:Syncope; D017211:Treatment Failure
D003402:Creatine Kinase