doiSerbia

Myocardial revascularization without extracorporeal circulation in patients at high operative risk

Kačar Saša (Institute of Cardiovascular Diseases of Vojvodina, Clinic for Cardiovascular Surgery, Sremska Kamenica)
Kačar Mirjana (Institute of Cardiovascular Diseases of Vojvodina, Clinic for Cardiovascular Surgery, Sremska Kamenica)
Mihajlović Bogoljub (Institute of Cardiovascular Diseases of Vojvodina, Clinic for Cardiovascular Surgery, Sremska Kamenica)
Kostovski Saša (Institute of Cardiovascular Diseases of Vojvodina, Clinic for Cardiovascular Surgery, Sremska Kamenica)
Velicki Lazar (Institute of Cardiovascular Diseases of Vojvodina, Clinic for Cardiovascular Surgery, Sremska Kamenica)

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.

Keywords: Myocardial Revascularization, Coronary Artery Disease, Coronary Artery Bypass, Off-Pump, Postoperative Complications, Risk Assessment, Male, Female NON MESH: EuroSCORE