Review
Myocardial Protection During off-pump Coronary Artery Bypass Surgery
1Ege Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir
2Ege Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir
3Department of Cardiovascular Surgery, Faculty of Medicine, Ege University, İzmir, Turkey
2Ege Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir
3Department of Cardiovascular Surgery, Faculty of Medicine, Ege University, İzmir, Turkey
Anatol J Cardiol 2001; 3(1): 197-201 PubMed ID: 12101823
Abstract
Myocardial protection during off-pump coronary artery bypass surgery (OPCAB) is a multifactorial problem and choice of graft sequence, maintenance of stable systemic hemodynamics are of central importance. New devices for atraumatic stabilization of the heart and visulization of coronary anastomoses allow grafting of all coronary arteries without cordiopulmonary bypass. Perfusion-assisted direct coronary artery bypass (PADCAB) techniques, in which coronary perfusion is independent of systemic arterial pressure, can eliminate unstable hemodynamic and improve myocardial protection during complex, multivessel OPCAB.
Keywords: Koroner cerrahisi, pompasız, miyokardiyal koruma