Left heart pump-assisted beating heart coronary surgery in high-risk patients.
A simple technique of left ventricular assistance, offering the advantages of both cardiopulmonary bypass and off-pump revascularization, was adopted for high-risk patients. It was used in 56 patients with critical left main stenosis and occluded right coronary artery, severely reduced ejection fraction and/or unstable angina. All patients underwent complete and successful myocardial revascularization (3.4 grafts per patient). Weaning from the pump was uncomplicated, and none required conversion to full cardiopulmonary bypass.
Pepino
Paolo
P
Department of Cardiothoracic Surgery, Clinica Pineta Grande, Castel Volturno, Italy. paolo.pepino@fastwebnet.it
Oliviero
Piermario
P
Petteruti
Francesco
F
di Tommaso
Luigi
L
Monaco
Mario
M
Stassano
Paolo
P
D000368:Aged; D000789:Angina, Unstable / Q000209:etiology / Q000601:surgery; D001243:Assisted Circulation; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D002405:Catheterization, Central Venous; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D023921:Coronary Stenosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008297:Male; D018579:Patient Selection; D018570:Risk Assessment; D012720:Severity of Illness Index; D013318:Stroke Volume; D016896:Treatment Outcome