On-pump beating heart coronary revascularization: Is it valid for emergency revascularization?
BACKGROUND
On-pump beating heart coronary artery bypass grafting (CABG) may be considered as an alternative to the conventional on-pump surgery in patients presenting with acute coronary syndrome requiring emergency revascularization. This study reports our clinical experience and early outcomes with the on-pump beating heart coronary surgery on patients with acute coronary syndrome.


METHODS
A retrospective study conducted from August 2009 to October 2015, in a regional training and research hospital in Turkey.


METHODS
A total of 1432 patients underwent isolated CABG at our institution. A total of 316 of these patients underwent the on-pump beating heart procedure without cardioplegic arrest by the same surgeon.


RESULTS
The time interval from the onset of acute myocardial infarction to CABG was 10 (2.2) hours. The mean number of grafts was 3.0 (0.6). Hospital mortality was 2.9% (9 patients). Twelve patients had low cardiac output syndromes after surgery. Eight of them had renal dysfunction but none of them needed hemodialysis. The mean intensive care unit stay was 3 (2) days and the mean hospital length of stay was 7 (4) days.


CONCLUSIONS
We think that the on-pump beating heart revascularization technique can be a good choice for emergency CABG of high-risk patients with a multivessel coronary artery disease.
Ahmet
A
Aydin
Bilgehan Erkut, Prof, MD, Cardiovascular Surgery,, Erzincan University Medical Faculty,, Gazi Mengücek Training and Research Hospital,, 24000, Erzincan, Turkey, T: + 90 533 7451006, F: + 90 442 2326405, bilgehanerkut@yahoo.com.
Bilgehan
B
Erkut
D054058:Acute Coronary Syndrome / Q000601:surgery*; D000368:Aged; D002303:Cardiac Output, Low / Q000453:epidemiology; D001026:Coronary Artery Bypass / Q000379:methods*; D004630:Emergencies; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*; D051437:Renal Insufficiency / Q000453:epidemiology; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey