Journal articles: 'Coronary artery bypass greft'

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Lafçı, Gökhan. "Coronary artery bypass graft surgery: an update." Turkish Journal of Thoracic and Cardiovascular Surgery 22, no. 1 (2014): 211–15. http://dx.doi.org/10.5606/tgkdc.dergisi.2014.7419.

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TOTUR DİKMEN, Burcu, and Meryem YAVUZ van GIERSBERGEN. "Koroner Arter Bypass Greft Ameliyatı Geçiren Hastaların Evde Bakım Gereksinimleri." Gevher Nesibe Journal IESDR 6, no. 13 (2021): 68–73. http://dx.doi.org/10.46648/gnj.239.

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Objective: The study was planned to determine the home care needs of patients undergoing coronary artery bypass graft surgery. Materials and Methods: The sample of this descriptive study consisted of 90 patients who had undergone coronary artery bypass graft surgery in a university hospital, were given home care for at least six months after discharge, and applied to the outpatient clinic for routine control. In the questionnaire form, which was used to collect study data, there were questions about patients' introductory information, activities of daily living, and home care needs. In order to evaluate the obtained data, number, percentage and chi-square analyzes were performed using the Statistical Package for Social Science. Results: 86.7% of the patients included in the study stated that they did not have any need during home care. 4.9% of the patients stated that they had self-care needs, 4.4% social, 2.2% psychological and 1.8% physiological needs. It was determined that 91.1% of patient relatives helped with their home care. Conclusion: Determining the individual characteristics and learning needs of patients undergoing CABG surgery, taking into account the family member who is planned to assist in home care, planning and applying discharge education in the areas they need the most will contribute to the conduct of their home care.

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Atik, Cem. "Management of a rare coronary artery anomaly through coronary artery bypass graft surgery: a case report." Turkish Journal of Thoracic and Cardiovascular Surgery 21, no. 4 (2013): 1071–73. http://dx.doi.org/10.5606/tgkdc.dergisi.2013.5017.

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Örki, Tülay, Deniz Avan, and Serpil Taş. "Anesthesia Management for Coronary Artery Bypass Grafting in a Patient with Bartter Syndrome." Kosuyolu Heart Journal 22, no. 1 (2019): 66–68. http://dx.doi.org/10.5578/khj.67964.

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Nishida, H., R. K. Grooters, M. Endo, et al. "Flow Study of Coronary-Coronary Bypass Grafting." Cardiovascular Surgery 1, no. 3 (1993): 296–99. http://dx.doi.org/10.1177/096721099300100321.

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Coronary-coronary bypass grafting was recently Introduced for patients with either calcification of the ascending aorta or an inadequate length of graft. Row in the coronary-coronary bypass graft and that in aortocoronary bypass to the same coronary bed was compared in eight mongrel dogs. How reserve of the proximal right coronary artery as a donor vessel to the coronary-coronary bypass graft was also measured. Both a coronary-coronary and aortocoronary bypass were constructed to the proximally ligated left anterior descending artery. The flow in each graft was measured with the other graft temporarily occluded. Flow reserve of the right coronary artery (mean internal diameter 1.5 mm) proximal to the anastomosis was measured before and after opening of the coronary-coronary bypass. Mean(s.d.) flow was 50.0(12.3) ml/min in the coronary-coronary bypass graft and 54.9(14.8) ml/min in the aortocoronary bypass, which was not significantly different. Flow curve studies demonstrated early systolic flow reversal in the aortocoronary bypass, while the coronary-coronary bypass showed only forward flow. Mean(s.d.) flow in the proximal right coronary artery increased from 35.4(11.8) to 76.0(15.3) ml/min after opening the coronary-coronary bypass graft, which had a flow rate of 42.2(10.4) ml/min. It is concluded that the coronary-coronary bypass graft can provide nearly the same flow rate as aortocoronary bypass, and that the proximal right coronary artery has sufficient flow reserve for this technique.

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Mendes, Aysha. "Coronary artery bypass graft." British Journal of Cardiac Nursing 10, no. 4 (2015): 205. http://dx.doi.org/10.12968/bjca.2015.10.4.205.

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Hu, Shengshou, Zhe Zheng, Xin Yuan, et al. "Coronary Artery Bypass Graft." Circulation: Cardiovascular Quality and Outcomes 5, no. 2 (2012): 214–21. http://dx.doi.org/10.1161/circoutcomes.111.962365.

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Jie, Zhang Ming, Liu Dan Dan, Wan Song, et al. "Coronary Artery Bypass Graft." Asian Cardiovascular and Thoracic Annals 4, no. 1 (1996): 63. http://dx.doi.org/10.1177/021849239600400119.

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GÜNDAY, Murat, and Mehmet ÖZÜLKÜ. "Off-Pump Coronary Artery Bypass and Ascending Aorta-to-Left Carotid Artery Bypass with a Median Sternotomy Incision." Damar Cerrahi Dergisi 24, no. 1 (2015): 57–60. http://dx.doi.org/10.9739/uvcd.2013-37460.

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Ahmed, Mohamed S., Ahmed A. Neamah, and Ali N. Abed. "Off-Pump Coronary Artery Bypass Graft." Journal of the Faculty of Medicine Baghdad 56, no. 4 (2015): 343–46. http://dx.doi.org/10.32007/jfacmedbagdad.564536.

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Background: Coronary artery bypass graft is routinely performed on an arrested heart using cardiopulmonary bypass with aortic cross clamping and Cardioplegia. Off-pump coronary artery bypass graft (OPCABG) is being increasingly used in selected cases as an attempt to decrease morbidity and mortality.Objective: The main objective of this study is to clarify those patients who are indicated for OPCABG despite it is surgically demanding technique and to evaluate the mortality and morbidity associated with such procedures.Patients and methods: It is a retrospective study of 28 patients with coronary artery disease, in need for coronary artery bypass graft admitted and surgically treated at the Iraqi Centre for Heart Diseases during 2 years period using OPCABG.Results : most of the patients were male (82%), and most of them (42%) were within age group of 61-70 years, the main indication of off-pump coronary artery bypass graft was left ventricular dysfunction and the least indication was cerebrovascular accident and renal impairment.Conclusion: Off-pump coronary artery bypass graft is useful in context of morbidity and mortality when indicated for patients with special criteria, those patients might get harm if we put them on bypass.

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Simsir, S. A., D. Kohlman-Trigoboff, R. Flood, J. Lindsay, and B. M. Smith. "A Comparison of Coronary Artery Bypass Grafting and Percutaneous Transluminal Coronary Angioplasty in Patients on Hemodialysis." Cardiovascular Surgery 6, no. 5 (1998): 500–505. http://dx.doi.org/10.1177/096721099800600513.

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The hospital records of 22 patients on hemodialysis undergoing coronary artery bypass grafting, and 19 others undergoing percutaneous transluminal coronary angioplasty were reviewed to compare the outcomes of these procedures in this population. Evidence of previous myocardial infarction or triple vessel or left main coronary artery disease was more common in patients undergoing coronary artery bypass graft than those undergoing percutaneous transluminal coronary angioplasty. Perioperative mortality and complication rates following coronary artery bypass graft (4.5% and 41%, respectively) were similar to those following percutaneous transluminal coronary angioplasty (5.3% and 42%). Cardiac event-free rates at 18 months by life-table analysis following coronary artery bypass graft and percutaneous transluminal coronary angioplasty were 87 ± 16% and 40 ± 14%, respectively. Survival at 18 months were 67 ± 17% following coronary artery bypass graft and 69 ± 14% following percutaneous transluminal coronary angioplasty. Cardiac events were observed to occur in three patients undergoing coronary artery bypass graft at a median of 10 months, and in nine patients following percutaneous transluminal coronary angioplasty at a median of 6 months. One patient required percutaneous transluminal coronary angioplasty after the initial coronary artery bypass graft. Seven patients required repeat percutaneous transluminal coronary angioplasty, and two patients underwent coronary artery bypass graft after initial percutaneous transluminal coronary angioplasty. Although these conclusions are limited by the retrospective nature of the study, it is concluded that coronary artery bypass graft can be performed with morbidity and mortality equivalent to percutaneous transluminal coronary angioplasty, and provides better cardiac event-free rates than percutaneous transluminal coronary angioplasty in patients on hemodialysis. Percutaneous transluminal angioplasty does not appear to be justified in this population because of its unacceptably high restenosis and cardiac event rates.

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AYDIN, Aydanur, and Dilek ÇİLİNGİR. "Pain Management with Non-pharmacological Methods in Patients Undergoing Coronary Artery Bypass Graft Surgery: Review." Turkiye Klinikleri Journal of Nursing 8, no. 2 (2016): 146–52. http://dx.doi.org/10.5336/nurses.2014-43196.

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Kikuchi, Keita, and Makoto Mori. "Minimally invasive coronary artery bypass grafting: a systematic review." Asian Cardiovascular and Thoracic Annals 25, no. 5 (2017): 364–70. http://dx.doi.org/10.1177/0218492317692465.

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To minimize surgical morbidity in coronary artery bypass grafting, minimally invasive cardiac surgery has gained popularity. Minimally invasive coronary artery bypass grafting offers unique advantages compared to conventional off-pump coronary artery bypass or minimally invasive direct coronary artery bypass in that it enables the surgeon to harvest and graft bilateral internal thoracic arteries via a small thoracotomy while being conducted completely off-pump. This review focuses on current evidence behind off-pump coronary artery bypass, multi-arterial revascularization, patient populations that would most benefit from bilateral internal thoracic artery minimally invasive coronary artery bypass grafting, the surgical technique, and early outcomes. By overcoming the perceived inability to utilize bilateral internal thoracic arteries in minimally invasive coronary artery bypass grafting, the new technique further expands the armamentarium of surgeons and cardiologists. Hybrid coronary revascularization with bilateral internal thoracic artery minimally invasive coronary artery bypass grafting further augments the appeal of the next generation of minimally invasive cardiac surgery.

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Mirza, Abbas Mohammed Sadiq, and Abdulazeez Mohsin Abdulazeez. "Factors Contributing to Choosing Percutaneous Coronary Intervention Or Coronary Artery Bypass Grafting in Patients with Coronary Artery Disease." Journal of duhok university 25, no. 2 (2022): 151–63. http://dx.doi.org/10.26682/sjuod.2022.25.2.14.

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Introduction: Coronary artery disease is a heart disease that is the main cause of mortality in both developed and developing nations. Management of coronary artery disease by coronary artery bypass graft surgery has significant complications for patients. In this regard, we aimed to determine factors contributing to choosing percutaneous coronary intervention or coronary artery bypass graft in patients with coronary artery disease. Methods: In this cross-sectional study, the patients who were diagnosed with coronary arteries disease who were admitted to rom Azadi Heart Canter and Vin Private Hospital Department of Cardiology in Duhok city from November 2021 to January 2022 were included. The coronary artery disease patients were of both genders aged 18 - 75 years with various socio-demographic characteristics who received percutaneous coronary intervention or coronary artery bypass graft were the target population of this study. Results: The study found that the mean age of the patients was 58.2 between 34 and 75 years old. The majority of the study sample were male (66%). The study showed that smoking, BMI, and diabetes mellitus were the only predictors of receiving coronary artery bypass graft or percutaneous coronary intervention the coronary artery disease patients. Heavy smokers were 3.9 times more likely to receive percutaneous coronary intervention compared to non-smoker patients (95% CI 1.5-10.5, P=0.00061). In addition, the obese patients were 3.1 times more likely to receive coronary artery bypass graft compared to normal-weight patients (95% CI: 1.1-8.5: P=0.0259) and overweight compared to normal-weight patients (OR: 3.6 95%CI: 1.3-10.; P=0.0173). The diabetic patients were 0.6 times (60%) less likely to receive coronary artery bypass graft compared to non-diabetic patients. Conclusions: The study showed that the patients who had diabetes mellitus and smokers were more likely to undergo the percutaneous coronary intervention. Being overweight and obese was shown to undergo the coronary artery bypass graft surgery rather than percutaneous coronary intervention

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Frolov, A. V., N. I. Zagorodnikov, R. S. Tarasov, and E. V. Grigoriev. "Single or multiple arterial grafting to design a coronary bypass: a retrospective study." Fundamental and Clinical Medicine 8, no. 3 (2023): 80–92. http://dx.doi.org/10.23946/2500-0764-2023-8-3-80-92.

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Aim. To compare the efficiency of single arterial grafting (SAG) and multiple arterial grafting (MAG) at coronary artery bypass graft (CABG) surgery in the long term.Material and Methods. To assess the angiographic outcomes, we evaluated the patency of 323 bypasses at 102 angiograms obtained during coronary angiography performed > 10 years post-CABG surgery.Results. Out of 323 analyzed bypasses, 230 (71.2%) showed physiological functioning, whereas stenosis, occlusions, and other coronary artery alterations were found in 93 (28.8%) bypasses. The most common cause for the failure of anastomoses was competitive flow (most frequently registered in the anastomoses between left internal thoracic artery and left anterior descending artery, left internal thoracic artery and diagonal branches of left anterior descending artery, right internal thoracic artery and left anterior descending artery, and between right internal thoracic artery and right coronary artery), poor distal bed (most frequently revealed in the anastomosis between left internal thoracic artery and obtuse marginal artery, saphenous vein and diagonal branches of left anterior descending artery, saphenous vein and obtuse marginal artery, and between saphenous vein and right coronary artery), progression of atherosclerosis in combination with poor distal bed (most frequently detected in the anastomosis between right internal thoracic artery and obtuse marginal artery), and combination of poor distal bed, competitive flow, and graft degeneration (most frequently found in the anastomoses between radial artery and obtuse marginal artery and between radial artery and right coronary artery). In 5 (5.4%) cases, the cause of coronary bypass dysfunction was unclear.Conclusion. The main causes for the coronary bypass failure included competitive flow (in case with multiple arterial grafting) and poor distal bed (in case with single arterial grafting).

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Takagi, Hisato, and Takuya Umemoto. "Graft patency in coronary artery bypass versus off-pump coronary artery bypass." Journal of Thoracic and Cardiovascular Surgery 138, no. 3 (2009): 792–93. http://dx.doi.org/10.1016/j.jtcvs.2009.04.051.

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ÇAYIRTEPE, Zuhal, Afsun Ezel ESATOĞLU, and Atilla ARAL. "Systematic Review of Studies Evaluating the Quality of Life After Coronary Artery Bypass Graft Surgery." Turkiye Klinikleri Journal of Health Sciences 5, no. 3 (2020): 688–701. http://dx.doi.org/10.5336/healthsci.2020-74150.

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Corso, Paul G. "Cardiopulmonary Bypass and Coronary Artery Bypass Graft." Chest 100, no. 2 (1991): 298–99. http://dx.doi.org/10.1378/chest.100.2.298.

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Kitahara, Hiroto, Sarah Nisivaco, and Husam H. Balkhy. "Graft Patency after Robotically Assisted Coronary Artery Bypass Surgery." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 14, no. 2 (2019): 117–23. http://dx.doi.org/10.1177/1556984519836896.

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Objective With advances in robotic instrumentation and technology, both robotically assisted minimally invasive direct coronary artery bypass (RMIDCAB) and totally endoscopic coronary artery bypass (TECAB) have been widely used over the past 20 years. Graft patency is the most important outcome in coronary bypass surgery and is associated with long-term prognosis. In this article we reviewed all experts’ studies in the field of robotic assisted coronary artery bypass and investigated graft patency in patients who underwent RMIDCAB or TECAB. Methods We performed a literature search in PubMed from 1999 to 2018 using the terms “Robotic” and “Coronary bypass” and/or “Minimally invasive” and/or “Totally endoscopic.” Of the articles found, studies investigating graft patency were specifically selected. Results In 33 articles, a total of 4,000 patients underwent robotic assisted coronary artery bypass surgery either by a RMIDCAB (2,396) or by a TECAB (1,604) approach. The graft patency was assessed by invasive angiography or computed tomographic angiography in all studies. The mean graft patency at early (<1 month), midterm (<5 years), and long-term (>5 years) follow-up was 97.7%, 96.1%, and 93.2% in RMIDCAB and 98.8%, 95.8%, and 93.6% in TECAB, respectively. Conclusions The graft patency of robotic assisted coronary artery bypass was equivalent to reported outcomes of the conventional approach. These results should encourage the adoption of robotic approaches in coronary bypass surgery.

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Sophia, G. "Coronary Artery Bypass Graft (CABG)." Research & Review: Management of Cardiovascular and Orthopedic Complications 1, no. 2 (2019): 4–15. https://doi.org/10.5281/zenodo.3266848.

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Objectives: To perform a health assessment, identify the nursing needs and prevent complication, formulate nursing diagnosis, provide comprehensive nursing care , learn about accident and its management teach family members and patients in detail about follow-up care. Methods of collection: case sheet, wife. Sample: SICU. Setting: Government Rajaji hospital, Madurai. Conclusion: By this care study, I got an opportunity to provide comprehensive nursing care to my client who had Coronary Artery Bypass Graft. It is of paramount importance for the nurses to become competent in providing nursing care for the patients with these problems.

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Inoue, Takehiro, and Toshihiko Saga. "Concomitant Aortoaxillary Bypass and Coronary Artery Bypass Grafting." Asian Cardiovascular and Thoracic Annals 13, no. 3 (2005): 229–32. http://dx.doi.org/10.1177/021849230501300308.

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The optimal revascularization strategy for patients with subclavian and coronary artery disease has not been established. This study assessed the mid-term clinical outcome of concomitant aortoaxillary bypass and coronary artery bypass grafting in 5 patients. A ring-reinforced polytetrafluoroethylene graft was attached to the ascending aorta and led to the proximal segment of the axillary artery via the pleural cavity. Patients were followed up for 2–10 years (mean, 5.4 ± 3.4 years). Postoperative aortography and angiography demonstrated patent aortoaxillary and coronary bypass grafts in the short-term follow-up of all patients. Two patients with Takayasu aortitis needed re-operations for recurrent angina and annuloaortic dilatation. Another patient required removal of the aortoaxillary bypass graft because of infection, and subsequently underwent a left femoroaxillary bypass one year after the original procedure. Subclavian steal phenomenon did not occur. Aortoaxillary bypass with coronary artery bypass may be an effective option for patients with co-existing subclavian and coronary artery disease.

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Sawatzky, Jo-Ann V., and Barbara J. Naimark. "Coronary Artery Bypass Graft Surgery." Journal of Cardiovascular Nursing 24, no. 3 (2009): 198–206. http://dx.doi.org/10.1097/jcn.0b013e31819b534e.

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Bidstrup, Ben P. "Coronary Artery Bypass Graft Patency." Seminars in Cardiothoracic and Vascular Anesthesia 1, no. 4 (1997): 282–87. http://dx.doi.org/10.1177/108925329700100402.

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Nwasokwa, Obi N. "Coronary Artery Bypass Graft Disease." Annals of Internal Medicine 123, no. 7 (1995): 528. http://dx.doi.org/10.7326/0003-4819-123-7-199510010-00009.

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Travis, Jeffrey, Bruce J. Carr, Deborah Saylor, et al. "Coronary Artery Bypass Graft Surgery." Journal For Healthcare Quality 31, no. 4 (2009): 16–23. http://dx.doi.org/10.1111/j.1945-1474.2009.00033.x.

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Saito, Aya, Hiraku Kumamaru, Noboru Motomura, Hiroaki Miyata, and Shinichi Takamoto. "Status of cardiovascular surgery in Japan between 2017 and 2018: A report based on the Cardiovascular Surgery Database. 2. Isolated coronary artery bypass surgery." Asian Cardiovascular and Thoracic Annals 29, no. 4 (2021): 294–99. http://dx.doi.org/10.1177/0218492320981499.

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Background Clinical outcomes (as national clinical data) of isolated coronary artery bypass grafting have been successively reported, based on data registered in the Japan Cardiovascular Surgery Database, since 2013. In this study, we analysed the clinical results of isolated coronary artery bypass from 2017 to 2018 as a biannual report. Methods Data from the Japan Cardiovascular Surgery Database on isolated coronary artery bypass performed in 2017 and 2018 were reviewed for preoperative characteristics, postoperative outcomes, and choice of graft material for the left anterior descending artery. Results Isolated off-pump coronary artery bypass was performed in 54.6% ( n = 14,684) of all coronary artery bypass cases ( n = 26,913), and graft material for the left anterior descending artery was the left internal thoracic artery in 76.4% of cases and the right internal thoracic artery in 19.0% of cases. Operative mortality was 1.5% in elective cases (on-pump coronary artery bypass 1.9% and off-pump 1.2%, p < 0.001), 7.4% in emergency cases (on-pump 10.2% and off-pump 4.3%, p < 0.001), and 2.5% overall. Postoperative morbidity was generally lower in off-pump coronary artery bypass. The severity of surgery with expected mortality, evaluated using JapanSCORE II, is increasing every year. Conclusions Our findings suggest that short-term operative results for isolated coronary artery bypass are stable, and operative candidates are shifting to higher-risk patients.

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Yanagawa, Bobby, Abdullah A. Alghamdi, Robert B. Chen, Anthony Amankwaa, and Subodh Verma. "Coronary Artery Bypass Graft for Anomalous Right Coronary Artery." Journal of Cardiac Surgery 26, no. 1 (2010): 44–46. http://dx.doi.org/10.1111/j.1540-8191.2010.01116.x.

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Aziz, Tarek A. Abdel, Pramod Kumar, Nooshin Bazargani, Eman Al-Hato, and Najib Al Khaja. "Assessment of Coronary Bypass Graft Patency by Electron-Beam Computed Tomography." Asian Cardiovascular and Thoracic Annals 11, no. 2 (2003): 102–6. http://dx.doi.org/10.1177/021849230301100203.

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Twenty-one patients undergoing coronary artery bypass grafting were prospectively evaluated by conventional selective coronary angiography and electron-beam computed tomography. Eighty bypass grafts (60 saphenous vein and 20 left or right internal mammary artery) were evaluated for patency. The sensitivity and specificity of electron-beam computed tomography were 72% and 100%, respectively; positive and negative predictive values were 100% and 92.5%, respectively. Sensitivity and specificity according to coronary region were: left anterior descending artery, 33% and 100%; diagonal artery, 67% and 100%; circumflex artery, 75% and 100%; right coronary artery, 100% and 100%. Electron-beam computed tomography is relatively accurate and a promising tool for noninvasive evaluation of graft patency after coronary artery bypass graft surgery.

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Barbukhatti, K. O., S. A. Belash, D. I. Shumkov, V. A. Sapunov, and V. A. Porhanov. "Stentectomy following percutaneous coronary intervention complicated by perforation of distal anastomosis after previous coronary artery bypass grafting." Russian Journal of Cardiology and Cardiovascular Surgery 18, no. 1 (2025): 109. https://doi.org/10.17116/kardio202518011109.

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The incidence of coronary artery perforations after stenting is 0.1—0.71%. Subsequent coronary artery bypass grafting for the treatment of complication is described in a few reports. This approach is characterized by high mortality due to cardiac tamponade and perioperative myocardial infarction. In this case, the patient underwent coronary artery bypass grafting of 3 coronary arteries. Thrombosis of venous graft to obtuse marginal artery occurred within several hours after surgery. This required percutaneous coronary intervention with stenting. However, coronary artery perforation near anastomosis with venous graft occurred immediately after stenting. In this article, we present successful emergency stentectomy followed by coronary artery bypass grafting of obtuse marginal artery.

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Tezcaner, T., Z. Çatav, C. Yorgancioğlu, O. Moldibi, K. Süzer, and I. Y. Zorlutuna. "Coronary Artery Bypass Surgery without Cardiopulmonary Bypass." Cardiovascular Surgery 6, no. 2 (1998): 139–44. http://dx.doi.org/10.1177/096721099800600206.

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In the years 1994 and 1995, 1087 patients underwent coronary artery bypass grafting at our institution. Of these, 297 were operated on without cardiopulmonary bypass. 239 were male, and 58 were female. Their ages ranged from 28 to 81 years (54.43 ± 9.63). Of the total, 294 were operated on electively, two as a coronary reoperations, and one as an emergency after a failed percutaneous transluminal coronary angioplasty procedure. In all patients complete revascularization was the aim, and a cardiopulmonary bypass team was kept on standby. Median sternotomy was performed as the exposure in all patients, except a patient who underwent a coronary reoperation through a left thoracotomy incision. The average of the distal anastomoses was 1.51 ± 0.6, ranging from 1 to 3. The left internal thoracic artery was used in 292 operations, which was an individual graft in 284, a sequential graft in five, and a free graft in four. Major complications in the early postoperative period were noted in three patients as reoperation for excessive bleeding. One patient had reoperation for left internal thoracic artery spasm, and one patient had lower extremity ischemia caused by intraoartic balloon counterpulsation. Hospital mortality was 0.3% with one patient. It is our belief that in selected cases coronary artery bypass grafting without cardiopulmonary bypass is a safe procedure with the advantage of improvement in recovery during the postoperative period.

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Todić, Mirko, Vanja Drljević-Todić, Andrej Preveden, et al. "Minimally invasive coronary surgery." Scripta Medica 52, no. 4 (2021): 309–16. http://dx.doi.org/10.5937/scriptamed52-34265.

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Minimally invasive options for coronary artery bypass graft (CABG) surgery progressed dramatically in the last decades. Minimally invasive CABG surgery is presented trough these forms: minimally invasive direct coronary artery bypass (MIDCAB), endoscopic atraumatic coronary artery bypass (EndoACAB), robot-assisted direct coronary artery bypass (RADCAB), total endoscopic coronary artery bypass (TECAB), and hybrid coronary revascularisation (HCR). Unfortunately, these are still limited only to the specialised centres across the world and have not been accepted by the majority of cardiac surgeons. A surgeon who is starting to practice minimally invasive CABG surgery needs to be ready for long duration of the interventions, higher rate of conversions to sternotomy and significant learning curve. Excellent results that have been published on the subject of minimally invasive revascularisation methods support the potential of these alternative approaches to evolve in the near future.

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Rajendran, Sunil, Anil Damodara Prabhu, Ismail Thazhakuni, Kannan Arunachalam Vellachamy, and Murali Prabhakaran Vettath. "Simultaneous Off-Pump Coronary Artery Bypass Grafting and Ascending Aortobifemoral Bypass Graft via Ventral Abdominal Route." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 2, no. 2 (2007): 84–85. http://dx.doi.org/10.1097/imi.0b013e318054e6f0.

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Aortoiliac disease often coexists with coronary artery disease. It is not uncommon to subject a patient to two separate interventions. We report two cases in which in simultaneous off-pump coronary artery bypass grafting was done with an ascending aortobifemoral bypass graft through the ventral abdominal route without any additional morbidity. Combining a technically simple method of limb bypass with an off-pump cardiac surgery is a promising procedure for revascularization of myocardium and lower limbs. We discuss the merits of combining an off-pump coronary artery bypass grafting procedure with a limb bypass.

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Shirish, S. Borkar, S. Ganesh Kamath, Sagar C. V. Sunil, Bedjirgi Chidanand, and Kashyap Nitin. "Triple Vessel Coronary Artery Bypass Grafting in a 14-year-old Child with Familial Hypercholesterolemia-A Rare Case Report." Open Journal of Cardiovascular Surgery 2 (January 2009): OJCS.S3713. http://dx.doi.org/10.4137/ojcs.s3713.

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Familial hypercholesterolemia is a genetic disorder caused by a mutation in the low density lipoprotein (LDL) receptor gene. The homozygous type of the disease is rare and causes tendon xanthomas and coronary artery disease during the early years of life. Premature coronary artery occlusive disease in familial homozygous hypercholesterolemia might necessitate coronary bypass surgery in children and young adults We present the case of a 14-year-old boy with familial hypercholesterolemia and coronary artery disease. He underwent triple-vessel coronary artery bypass grafting with bilateral pedicled internal mammary artery and saphenous vein grafting without adverse events. Pediatric patients with familial hypercholesterolemia may present with premature coronary atherosclerosis requiring coronary artery bypass grafting. In situ internal mammary artery grafts should be the graft of choice. To the best of our knowledge, he is one of the youngest such patients reported in the English-language literature who underwent coronary artery bypass surgery.

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Rahman, Md Lutfar, Md Badruzzaman, Prakashchandra Munshi, Mazbaur Rahman, SM Taslim Yusuf, and Md Saiful Islam. "Coronary Artery Bypass Graft Surgery (CABG)." KYAMC Journal 7, no. 2 (2017): 795–803. http://dx.doi.org/10.3329/kyamcj.v7i2.33841.

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Coronary artery bypass grafting (CABG) is one of the procedure done worldwide with acceptable results and has the highest impact in the history of medicine. Atherosclerotic Plaque formation in the sub-intimal layer is the main pathophysiology which causes ischemia in cardiac muscle & gives symptoms of coronary artery disease (CAD). There are many ways for revascularization but CABG is the mostly performed procedure & still gold standard. Results of percutaneous coronary interventions (PCI) & other novel approach to coronary revascularization is still compared with conventional CABG. Left internal mammary artery is the most durable conduits & should be used for every patients unless contraindicated. In young non-diabetic patient as much possible arterial conduits should be used. In planned operations results are excellent with inhospital mortality <1% with few morbidities like sternal wound infection <3%, renal and neurological complications <7% & <3%.KYAMC Journal Vol. 7, No.-2, Jan 2017, Page 795-803

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Ranjan, Redoy, Dipannita Adhikary, Heemel Saha, Sanjoy Kumar Saha, Kamrul Hasan, and Asit Baran Adhikary. "Coronary atheroma [14 cm] extracted from the right coronary artery during off-pump coronary artery bypass grafting." Bangabandhu Sheikh Mujib Medical University Journal 10, no. 2 (2017): 97. http://dx.doi.org/10.3329/bsmmuj.v10i2.32706.

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Coronary endarterectomy is a good option for surgical revascularization in diffusely coronary artery disease. In coronary artery bypass surgery, a diffusely diseased right coronary artery is an obstruction to accomplishing complete myocardial revascularization, subsequently increasing the likelihood of a poor postoperative prognosis. Here, we report a case of extraction of a long segment coronary atheroma (14 cm) from right coronary artery during off-pump coronary artery bypass grafting using closed endarterectomy technique followed by reconstruction with saphenous venous graft.

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Mihriban, Yalcin, Godekmerdan Eda, Derya Tayfur Kaptanı, Yazman Serkan, and Ozyazicioglu Ahmet. "Use of Levosimendan in Patients With Low Left Ventricular Ejection Fraction in Ordu/Turkey: Report of Experience with Mini Review." Cardiology and Angiology: An International Journal 6, no. 2 (2017): 1–8. https://doi.org/10.9734/CA/2017/33415.

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Aims:To report the effect of prophylactic usage of levosimendan in patients with low left ventricular ejection fraction undergoing coronary artery bypass grafting (CABG). Methods: We reported early results of 32 patients (26 male and 6 female; mean age 61.630 ± 9.653 years) who received preoperative levosimendan who underwent CABG with left ventricular ejection fraction (LVEF) of 35% or less between March 2014 and August 2016. Results: All patients achieved to wean from cardiopulmonary bypass. In only four patients there was a need for intraaortic baloon pump (12.5%). Mortality was in 4 patients (12.5%). And six months after the operation all patients (discharged from hospital) were alive. Conclusion: Preoperatively administration of the long-acting inotrope levosimendan might be feasible and have a favourable safety profile in patients with severely reduced LVEF undergoing CABG. We suggest that levosimendan may be useful in high-risk CABG patients.

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Stastny, Lukas, Markus Kofler, Julia Dumfarth, et al. "Long-Term Clinical and Computed Tomography Angiographic Follow-Up after Totally Endoscopic Coronary Artery Bypass Grafting." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 13, no. 1 (2018): 5–10. http://dx.doi.org/10.1097/imi.0000000000000461.

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Objective Totally endoscopic coronary artery bypass grafting was shown to be feasible and safe, with excellent clinical and angiographic mid-term results. Data on long-term outcome are lacking. Therefore, we aimed to investigate the long-term rate of major adverse cardiac and cerebrovascular events and left internal mammary artery patency rate in patients undergoing arrested heart totally endoscopic coronary artery bypass grafting. Methods From 2001 to 2012, a total of 208 arrested heart-totally endoscopic coronary artery bypass grafting patients were prospectively included. Mean ± SD age was 58.8 ± 9.4 years, and mean ± SD Society of Thoracic Surgeons score was 0.5 ± 0.5%. Major adverse cardiac and cerebrovascular events were defined as a composite of death, myocardial infarction, stroke, re-percutaneous coronary intervention, re-coronary artery bypass graft, and target vessel revascularization. Left internal mammary artery patency was assessed using cardiac computed tomography and depicted according to the established Fitzgibbon classification. Mean ± SD follow-up was 6.9 ± 2.3 years. Results At 1, 5, and 10 years, survival rate was 100%, 98.3%, and 95.8%, respectively. The freedom from clinical events at 1, 5, and 10 years were major adverse cardiac and cerebrovascular events (93.5%, 85.9%, and 83.0%), myocardial infarction (99.0%, 97.4%, and 95.9%), target vessel revascularization (96.0%, 94.3%, and 91.7%), re-percutaneous coronary intervention (94.5%, 91.6%, and 84.2%), and re-coronary artery bypass graft (100%, 99.5%, and 99.5%), respectively. Left internal mammary artery patency rate at 1, 5, and 10 years was 100%, 94.9%, and 88.1%, respectively. Conclusions Arrested heart-totally endoscopic coronary artery bypass grafting shows excellent clinical long-term results with a left internal mammary artery patency rate comparable with conventional coronary artery bypass graft at 10 years after surgery.

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Tezcaner, Tevfik, Cem Yorgancioğlu, Zeki Çatav, et al. "Coronary Artery Bypass Grafting without Cardiopulmonary Bypass." Asian Cardiovascular and Thoracic Annals 8, no. 2 (2000): 97–102. http://dx.doi.org/10.1177/021849230000800202.

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Between March 1994 and April 1998, 2869 patients underwent coronary artery bypass grafting at our institution. Of these, 415 (14.5%) with a mean age of 54.4 ± 9.9 years were operated on without cardiopulmonary bypass. Internal thoracic artery was used in 402 cases (97%) and the left anterior descending artery was revascularized in all except 1. Distal anastomoses ranged from 1 to 3, with a mean of 1.45 ± 0.58. Major postoperative complications comprised reoperation because of internal thoracic artery spasm in 1 patient, lower extremity ischemia due to intraaortic balloon pumping in 1 patient, revision for excessive bleeding in 3, and perioperative myocardial infarction in another 3. Hospital mortality was 1.2% (5 deaths). Coronary angiography was performed in 38 patients, 1 to 44 months postoperatively. Examination of 56 distal anastomoses revealed a patency rate of 86.1% for internal thoracic artery grafts and 55% for saphenous vein grafts. It was concluded that coronary bypass surgery without cardiopulmonary bypass gave favorable results in the early postoperative period. However, considering the late graft patency rates, either patient selection or the technique should be reevaluated.

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Abazid, R., J. Romsa, C. Akincioglu, et al. "Coronary Artery Calcium Progression After Coronary Artery Bypass Graft Surgery." Journal of Cardiovascular Computed Tomography 15, no. 4 (2021): S34—S35. http://dx.doi.org/10.1016/j.jcct.2021.06.235.

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Jabbad, Husain H. "Coronary Artery Bypass Graft for Left Main Coronary Artery Disease." Journal of King Abdulaziz University - Medical Sciences 22, no. 2 (2015): 25–29. http://dx.doi.org/10.4197/med.22-2.34.

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Because left main coronary artery disease carries a high risk of morbidity and mortality, this retrospective study will review the data and results of surgical management of left main coronary artery disease, in King Abdulaziz University Hospital. 448 patients underwent coronary bypass graft into two groups, left main group (50) patients and non-left main group (398) patients. Preoperative data, risk factors and cardiac catheterization findings were compared in between the two groups in addition to perioperative morbidity and mortality. Patients in the left main group were younger in age with significantly lower ejection fraction and more risk factors (hypertension, dyslipidemia, and smoking). In our study the left main group patients had higher mortality than non-left main patients [4 patients = 8%, 6 patients = 1.8%]; the most common cause of perioperative mortality in the left main group was low cardiac output state, and the most common complications were perioperative myocardial infarction and prolonged ventilation. The higher mortality and morbidity associated with surgery for left main coronary artery disease can be explained by the higher risk profi le, the need of urgent surgery and critical preoperative status.

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Jabbad, Husain H. "Coronary Artery Bypass Graft for Left Main Coronary Artery Disease." Journal of King Abdulaziz University - Medical Sciences 22, no. 2 (2015): 25–29. http://dx.doi.org/10.4197/med.22-2.4.

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Because left main coronary artery disease carries a high risk of morbidity and mortality, this retrospective study will review the data and results of surgical management of left main coronary artery disease, in King Abdulaziz University Hospital. 448 patients underwent coronary bypass graft into two groups, left main group (50) patients and non-left main group (398) patients. Preoperative data, risk factors and cardiac catheterization findings were compared in between the two groups in addition to perioperative morbidity and mortality. Patients in the left main group were younger in age with significantly lower ejection fraction and more risk factors (hypertension, dyslipidemia, and smoking). In our study the left main group patients had higher mortality than non-left main patients [4 patients = 8%, 6 patients = 1.8%]; the most common cause of perioperative mortality in the left main group was low cardiac output state, and the most common complications were perioperative myocardial infarction and prolonged ventilation. The higher mortality and morbidity associated with surgery for left main coronary artery disease can be explained by the higher risk profi le, the need of urgent surgery and critical preoperative status.

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Jadhav, Santhosh, H. S. Natraj Setty, Bhanu Prakash, et al. "Clinical profile of post coronary artery bypass graft patients undergoing percutaneous coronary intervention in native or graft vessels." International Journal of Advances in Medicine 7, no. 5 (2020): 795. http://dx.doi.org/10.18203/2349-3933.ijam20201613.

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Background: The PCI target vessel and corresponding outcomes in prior CABG patients are poorly studied. The study aims to determine the predictors and outcomes of native coronary artery and bypass graft percutaneous coronary intervention (PCI) in patients with prior coronary artery bypass graft surgery (CABG).Methods: The factors associated with native and bypass graft PCI were analyzed in prior CABG patients undergoing PCI between July 2011 and December 2013, at Sri Jayadeva Institute Of Cardiovascular Sciences and Research, Bengaluru. Clinical/procedural characteristics and immediate procedural outcomes were recorded and analyzed.Results: During the study period, 76 patients underwent PCI who were before CABG patients. The PCI target was a native coronary artery in 73.6% and a bypass graft in 28.9%. The majority of patients presented more than five years after the CABG (64.4%). Post PCI angina was seen in 7(9.2%), and in 6(7.8%) patients, procedural complications seen. It was found that most PCI was done in patients who presented more than five years after CABG.Conclusions: Most PCIs performed in prior CABG patients are done in native coronary artery lesions.

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ALUR, İhsan, Kadir AĞLADIOĞLU, Tevfik GÜNEŞ, et al. "Postoperative Venous Thrombosis:Frequency and Risk Factors in Patients Undergoing Isolated Coronary Artery Bypass Graft Surgery." Damar Cerrahi Dergisi 25, no. 2 (2016): 59–65. http://dx.doi.org/10.9739/uvcd.2016-52944.

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TOPALEL, Selen, Mazlum DURSUN, Siyament CANGİR, Aras Yiğit BALYAN, Sedat KAYA, and Osman UZUNDERE. "Factors Affecting Postoperative Extubation Duration in Coronary Artery Bypass Grafting Surgery Patients: A Retrospective Evaluation." Turkiye Klinikleri Journal of Anesthesiology Reanimation 22, no. 3 (2024): 84–92. https://doi.org/10.5336/anesthe.2024-106666.

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Ubare, Tushar, Namrata Rathi, and Leena Jaiswal. "Postoperative Physical Therapy Following Coronary Artery Bypass Surgery - A Case Report." International Journal of Health Sciences and Research 12, no. 3 (2022): 138–43. http://dx.doi.org/10.52403/ijhsr.20220319.

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One of the most prevalent consequences following coronary artery bypass graft (CABG) surgery is pulmonary difficulties. However, not all patients are at the same risk of pulmonary complications after surgery (PPCs) (1). Postoperative pulmonary issues are the most common problems discovered and treated following abdominal or cardiothoracic surgery (PPCs) (1). Patients with a history of lung disease had a higher risk of problems after surgery, according to research. Treatment for coronary artery disease (CAD) aims to reduce or eliminate the disease's repercussions, as well as its morbidity and death (2). Treatment for coronary artery disease (CAD) tries to lessen or eliminate the illness's consequences, including morbidity and mortality(3). Atelectasis is a common complication of coronary artery bypass surgery. Atelectasis can be caused by general anaesthesia, diaphragmatic dysfunction, abdominal distension, chest wall changes, pleural effusions, and discomfort (4). Physiotherapists have typically employed different respiratory therapies after coronary artery bypass graft surgery (CABG) to reduce the occurrence of postoperative pulmonary issues (PPC) (5). Despite its widespread use, the effectiveness of any particular chest physical therapy is unknown. Every day, patients with coronary artery disease around the world undergo coronary artery bypass graft (CABG) surgery (6). Despite advances in anesthetic, cardiopulmonary bypass procedures, and pre-and postoperative care, CABG continues to be associated with a high prevalence of pulmonary complications (PPC). In the postoperative phase after CABG, respiratory physiotherapy is advised to improve lung function and prevent or treat pulmonary problems (7). Key words: Coronary artery bypass graft surgery, Postoperative pulmonary complications, Preoperative risk factors, Physiotherapy rehabilitation.

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Akobyan, Tigran. "Graft Flow Assessment with Transthoracic Doppler After Coronary Arterial Bypass Grafting with Bilateral Internal Thoracic Arteries." Clinical Cardiovascular Research 2, no. 1 (2023): 01–05. http://dx.doi.org/10.58489/2836-5917/007.

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Purpose — The aim of our study is to assess the transthoracic Doppler parameters of left internal thoracic artery`s stem (LITA) flow after coronary artery bypass surgery with free right internal thoracic artery using Y graft technique and compare them with such parameters of LITA‐LAD (left anterior descending) graft flow after regular coronary artery bypass surgery (CABG). Material and Methods — 51 consecutive patients with coronary artery disease underwent CABG. Comparison between groups was performed using the following parameters: age, body mass index, angina class, presence of hypertension and diabetes, left ventricular ejection fraction and haemoglobin level, hemodynamic parameters during the Doppler investigation. Results — Higher systolic acceleration time value in Y graft group is due to bigger runoff of Y graft compared with the classic group. The diastolic acceleration time is shorter in Y graft group as the distal coronary runoff is bigger and LITA`s peak flow accelerates faster. The systolic and diastolic acceleration times are very sensitive parameters which depend on the distal coronary runoff changes. Conclusions — We conclude that blood flow volume in tha LITA graft depend of coronary artery distal run‐off and rising when we using to revascularize more than one coronary artery.

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Nezic, D., P. Milojevic, M. Cirkovic, et al. "The radial artery for coronary artery bypass grafting." Acta chirurgica Iugoslavica 52, no. 3 (2005): 11–19. http://dx.doi.org/10.2298/aci0503011n.

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Coronary artery bypass grafting (CABG) is the standard surgical procedure for the treatment of advanced coronary artery disease. CABG surgery has been demonstrated to improve symptoms and, in specific subgroups of patients, to prolong life. Despite its success, the long-term outcome of coronary bypass surgery is strongly influenced by the fate of the vascular conduits used. Previous long-term studies have shown unsatisfactory patency of saphenous vein grafts used for myocardial revascularisation, compared with internal mammary artery grafts. Recently, the use of radial artery for CABG has enjoyed a revival, on the basis of the belief that it will help improving long-term results of coronary operations. The recent reports of encouraging mid-term and long-term patency rates of the radial artery, supports its continued use as a bypass conduit. In this paper, we review the current knowledge about the radial artery as a bypass graft, with special emphasis on the clinical results.

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Tribble, Curt, and Nick Teman. "Sewing Proximals on the Ascending Aorta during CABG Operations." Heart Surgery Forum 25, no. 2 (2022): E330—E339. http://dx.doi.org/10.1532/hsf.4789.

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To have coronary bypass surgery deliver on the claim made by Dr. Lytle in his Gibbon Lecture at the 2020 meeting of the American College of Surgeons, surgeons doing these operations must pay attention to every detail of the procedures. While a lot of attention is, appropriately, focused on sewing the distal anastomoses in coronary artery bypass operations [Tribble, 2018], there is often comparatively less attention placed on creating the proximal anastomoses for coronary artery bypass grafts. [Favaloro, 1970]. A lack of attention to these anastomoses can lead to significant problems for patients undergoing coronary artery bypass surgery. This article will address the common issues to be considered in creating proximal vein graft anastomoses in a standard coronary artery bypass operation. Let’s get started …..

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Adhikary, Dipannita, Redoy Ranjan, Sabita Mandal, Mohammad Delwer Hossain Hawlader, Dipak Kumar Mitra, and Asit Baran Adhikary. "Prevalence of carotid artery stenosis in ischaemic heart disease patients in Bangladesh." SAGE Open Medicine 7 (January 2019): 205031211983083. http://dx.doi.org/10.1177/2050312119830838.

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Background: Concurrent carotid artery stenosis and ischaemic heart disease rates are increasing day by day in Bangladesh. Moreover, carotid artery stenosis has been identified as a high-risk factor for postoperative ischaemic cerebral inconvenience following coronary artery bypass graft surgery. Methods: This observational cross-sectional study was performed to evaluate 200 study patients from July 2017 to June 2018. Patients with coronary artery disease scheduled for isolated elective coronary artery bypass graft surgery were included in the study, excluding those with coexisting valvular or congenital heart disease and emergency coronary artery bypass graft surgery. Results: About two-thirds of the study patients were 50–59 years old, with a mean age of 57.7 ± 3.06 years. Approximately 70% patients were male; the male:female ratio was 2.1:1. Most of the patients (74.5%) were Muslim. The majority of patients (59.0%) were overweight, and severe carotid artery stenosis was significantly higher in obese patients (p ⩽ 0.05). Furthermore, hypertension and diabetes mellitus were significantly associated with moderate to severe carotid artery stenosis (p ⩽ 0.05). Multi-vessel coronary artery disease was significantly associated with the severity of carotid artery stenosis. Bilateral carotid artery stenosis was significantly associated with the severity of carotid artery stenosis (p ⩽ 0.05). Conclusion: Routine duplex screening will identify significant carotid artery disease and will subsequently reduce the risk of perioperative stroke in ischaemic heart disease patients undergoing coronary artery bypass graft surgery.

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Goto, Yoshihiro, Sho Takagi, Junji Yanagisawa, and Akio Nakasu. "Combination of endoscopic internal thoracic artery harvest and proximal anastomoses on the descending aorta in minimally invasive coronary artery bypass grafting." BMJ Case Reports 15, no. 12 (2022): e251785. http://dx.doi.org/10.1136/bcr-2022-251785.

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Minimally invasive coronary artery bypass grafting is less invasive. Proximal anastomoses at the ascending aorta, in contrast, are technically difficult to perform because of the limited field of view. A man in his 60s undergoing haemodialysis required minimally invasive coronary artery bypass grafting for left anterior descending artery and circumflex arterial restenosis. We successfully performed minimally invasive coronary artery bypass grafting with a proximal graft anastomosis of the descending aorta. A thoracotomy was performed to extend the lateral approach to the descending aorta. We performed a minithoracotomy using three-dimensional endoscopy for internal thoracic artery harvesting. Endoscopic internal thoracic artery harvesting minimises incision length. The combination of endoscopic and lateral thoracotomy incisions in minimally invasive coronary artery bypass grafting enabled small and lateral thoracotomy incisions.

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Journal articles on the topic 'Coronary artery bypass greft'

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