title: Myocardial revascularization without extracorporeal circulation in patients at high operative risk.
abstract: It is considered that over 25% of surgical patients with coronary artery disease are treated without extracorporeal circulation, i.e. off-pump coronary artery bypass. The aim of the study was to evaluate results of surgical myocardium revascularization in patients at high operative risk. During the period 2005-2008, 148 patients were operated without the use of extracorporeal ciruculation. According to the logistic European System for Cardiac Operative Risk Evaluation (EuroSCORE) stratification, 28 patients (19%) were designated as the high risk patients. The average age of these high risk patients was 72 years (55-86). The group consisted of 23 men (82.1%) and 5 women (17.8%). The postoperative mortality in the whole group of patients was 0.68% (1/148), whereas it was 0% in the high risk group. The average number of coronary anastomoses was 2.4. Eight patients (28.6%) had some sort of postoperative complications. Our results demonstrate safety and efficacy of surgical revascularization without cardiopulmonary bypass in patients at high operative risk.
authors.affiliation: Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica. sakacar@gmail.com
authors.forename: Sasa
authors.initials: S
authors.lastname: Kacar
authors.forename: Mirjana
authors.initials: M
authors.lastname: Kacar
authors.forename: Bogoljub
authors.initials: B
authors.lastname: Mihajlović
authors.forename: Sasa
authors.initials: S
authors.lastname: Kostovski
authors.forename: Lazar
authors.initials: L
authors.lastname: Velicki
mesh_terms: D000368:Aged; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012306:Risk