Abstract:

Background: In the recent years, off-pump coronary artery bypass OPCAB surgery has become an established surgical technique especially in Euroscore > 5 patients. The purpose of this study is to investigate the results of on the beating heart coronary bypass surgery in patients with Euroscore > 5. Methods: Eighty-six patients operated on the beating heart between April 2002 and January 2005 were included in this study. Mean age of patients 61.5 ± 8.9 years and 89.64% were male. Preoperative patşent risk factor was; smoking 23 patient 27.90% , diabetes mellitus 19 patient 23.25% , hypertansion 34 patient 40,69% and cronic obstruktive lung disease in 6 patient. Results: Mean of left ventricular ejection fraction of all patients was 42 ± 9.1%, Euroscore was 9.7 ± 3.1. The mean number of bypassed grafts was 1.99 ± 0.6. Mean stay at intensive care unit 19 ± 5.2 hour, and at hospital 7.5 ± 1.5 days. İntra-aortic balloon pump was used in eight patients 4.6% . Five patients 5.8% received endarterectomy of at least one coronary artery. Hospital mortality was 3.4% with 3 patients. Conclusions: Off-pump CABG can be performed with low mortality and morbidity in patients with Euroscore>5

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