- Oral presentation
- Open Access
Coronary artery bypass grafting on the beating heart: 13-years experience in a single center
Journal of Cardiothoracic Surgery volume 8, Article number: O172 (2013)
The relative value of off-pump coronary bypass (OPCAB) surgery as compared to conventional coronary artery bypass operation is still debated. We started a prospective study in 2000 with the aim of using exclusively OPCAB for surgical myocardial revascularization in a single center. The present report analyzes the 13-years results of this approach in a large consecutive patient population.
Of the 6111 coronary bypass operation performed in our center between January 2000 and December 2012, 5472 were carried out off-pump. Since 2004 OPCAB surgery was performed in more than 99% of cases, conventional CABG was reserved for patients in cardiogenic shock. The OPCAB approach consisted of the use of a single pericardial sling, pressure stabilizing device, aortocoronary shunt and elastic snares. Prophylactic intra-aortic balloon pump counter-pulsation was used in 495 (9%) of cases.
The OPCAB hospital mortality was 1.5% (85/5472). Perioperative myocardial infarction occurred in 60 (1.1%), stroke in 85 (1.2%), major adverse cardiac event in 132 (2.4%) cases. 121 patients needed reoperation for bleeding (2.2%). The mean length of hospital stay was 9.9 (SD 8.5) days.
The shift towards beating-heart surgery provides acceptable results, but does not eliminate perioperative mortality and morbidity.
About this article
Cite this article
Bogáts, G., Hegedüs, Z., Bitay, M. et al. Coronary artery bypass grafting on the beating heart: 13-years experience in a single center. J Cardiothorac Surg 8 (Suppl 1), O172 (2013). https://doi.org/10.1186/1749-8090-8-S1-O172
- Coronary Artery Bypass
- Bypass Operation
- Cardiogenic Shock
- Major Adverse Cardiac Event
- Adverse Cardiac Event