Management of patients with a calcified aorta or low ejection fraction undergoing multivessel coronary revascularization

W. Brent Keeling; Michael E. Halkos; John D. Puskas

doi:10.1053/j.semtcvs.2010.10.007

Management of patients with a calcified aorta or low ejection fraction undergoing multivessel coronary revascularization

W. Brent Keeling, Michael E. Halkos, John D. Puskas

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Off-pump coronary artery bypass surgery (OPCAB) provides an alternative method of surgical revascularization by allowing coronary anastomoses to be constructed without the use of cardiopulmonary bypass and without manipulation of the aorta. The presence of a calcified aorta is one of the strongest indications for OPCAB because both distal and proximal anastomoses can be performed without cannulation or clamping of the aorta. In patients with left ventricular dysfunction, OPCAB techniques allow for revascularization without the need for global myocardial ischemia associated with cardioplegic arrest.

Original language	English
Pages (from-to)	250-252
Number of pages	3
Journal	Seminars in Thoracic and Cardiovascular Surgery
Volume	22
Issue number	3
DOIs	https://doi.org/10.1053/j.semtcvs.2010.10.007
State	Published - 2010
Externally published	Yes

Keywords

CABG
High-risk
Low ejection fraction
OPCAB
Porcelain aorta

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10.1053/j.semtcvs.2010.10.007

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abstract = "Off-pump coronary artery bypass surgery (OPCAB) provides an alternative method of surgical revascularization by allowing coronary anastomoses to be constructed without the use of cardiopulmonary bypass and without manipulation of the aorta. The presence of a calcified aorta is one of the strongest indications for OPCAB because both distal and proximal anastomoses can be performed without cannulation or clamping of the aorta. In patients with left ventricular dysfunction, OPCAB techniques allow for revascularization without the need for global myocardial ischemia associated with cardioplegic arrest.",

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AU - Puskas, John D.

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AB - Off-pump coronary artery bypass surgery (OPCAB) provides an alternative method of surgical revascularization by allowing coronary anastomoses to be constructed without the use of cardiopulmonary bypass and without manipulation of the aorta. The presence of a calcified aorta is one of the strongest indications for OPCAB because both distal and proximal anastomoses can be performed without cannulation or clamping of the aorta. In patients with left ventricular dysfunction, OPCAB techniques allow for revascularization without the need for global myocardial ischemia associated with cardioplegic arrest.

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KW - High-risk

KW - Low ejection fraction

KW - OPCAB

KW - Porcelain aorta

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Management of patients with a calcified aorta or low ejection fraction undergoing multivessel coronary revascularization

Abstract

Keywords

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