Off-pump coronary artery bypass grafting for repeat coronary revascularization

Richard J. Myung; John D. Puskas

doi:10.1007/978-1-4614-1326-4_3

Off-pump coronary artery bypass grafting for repeat coronary revascularization

Richard J. Myung, John D. Puskas

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

For decades, cardiopulmonary bypass (CPB) has been used routinely and safely for patients undergoing conventional redo on-pump coronary artery bypass grafting (redo-CABG) surgery. The efficacy and safety of redo-CABG have been well documented across a large spectrum of surgeons and patient populations with mortality rates approaching those of primary CABGs (Ann Thorac Surg 80:1719-27, 2005). In many respects, redo-CABG remains the gold standard for repeated coronary revascularization. However, the obligatory aortic manipulation, global myocardial ischemia requiring myocardial protection in advanced coronary disease, and systemic inflammatory response associated with CPB are avoided during redo off-pump coronary artery bypass surgery (redo-OPCAB). To avoid the morbidity attributable to CPB, there has been a resurgence of interest in the application of OPCAB techniques to repeat coronary revascularization.

Original language	English
Title of host publication	Redo Cardiac Surgery in Adults
Publisher	Springer New York
Pages	21-27
Number of pages	7
ISBN (Electronic)	9781461413264
ISBN (Print)	1461413257, 9781461413257
DOIs	https://doi.org/10.1007/978-1-4614-1326-4_3
State	Published - 1 Jun 2013
Externally published	Yes

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10.1007/978-1-4614-1326-4_3

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abstract = "For decades, cardiopulmonary bypass (CPB) has been used routinely and safely for patients undergoing conventional redo on-pump coronary artery bypass grafting (redo-CABG) surgery. The efficacy and safety of redo-CABG have been well documented across a large spectrum of surgeons and patient populations with mortality rates approaching those of primary CABGs (Ann Thorac Surg 80:1719-27, 2005). In many respects, redo-CABG remains the gold standard for repeated coronary revascularization. However, the obligatory aortic manipulation, global myocardial ischemia requiring myocardial protection in advanced coronary disease, and systemic inflammatory response associated with CPB are avoided during redo off-pump coronary artery bypass surgery (redo-OPCAB). To avoid the morbidity attributable to CPB, there has been a resurgence of interest in the application of OPCAB techniques to repeat coronary revascularization.",

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AB - For decades, cardiopulmonary bypass (CPB) has been used routinely and safely for patients undergoing conventional redo on-pump coronary artery bypass grafting (redo-CABG) surgery. The efficacy and safety of redo-CABG have been well documented across a large spectrum of surgeons and patient populations with mortality rates approaching those of primary CABGs (Ann Thorac Surg 80:1719-27, 2005). In many respects, redo-CABG remains the gold standard for repeated coronary revascularization. However, the obligatory aortic manipulation, global myocardial ischemia requiring myocardial protection in advanced coronary disease, and systemic inflammatory response associated with CPB are avoided during redo off-pump coronary artery bypass surgery (redo-OPCAB). To avoid the morbidity attributable to CPB, there has been a resurgence of interest in the application of OPCAB techniques to repeat coronary revascularization.

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Off-pump coronary artery bypass grafting for repeat coronary revascularization

Abstract

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