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Interact CardioVasc Thorac Surg 2006;5:559. doi:10.1510/icvts.2006.128884A
© 2006 European Association of Cardio-Thoracic Surgery
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Hitoshi Hirose
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Institutional report - Coronary

ICVTS on-line discussion A

Hitoshi Hirose

Dept of Cardiothoracic Surgery, Drexel Univ. College of Medicine, Philadelphia, PA 19107, USA

Emergency conversion in off-pump coronary artery bypass grafting

eComment: Other risk factors for conversion [1] could be decreased left ventricular (LV) function. Vohra [2] recently reported favorable outcomes of elective use of intraaortic balloon pump (IABP) for the patients undergoing off-pump coronary artery bypass (OPCAB) in patients with either poor LV function (ejection function less than 30%), left main disease or unstable angina. In 2005, elective preoperative IABP was used in 8 patients with poor LV function, less than 30% scheduled for elective OPCAB in our institution. These IABP were removed a few hours after surgery. There were no IABP related complications. All patients completed OPCAB (number of revascularized vessels 3.4±1.3) without cardiopulmonary bypass support.


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  1. Tabata M, Takanashi S, Horai T, Fukui T, Hosoda Y. Emergency conversion in off-pump coronary artery bypass grafting. Interact CardioVasc Thorac Surg doi:10.1510/icvts.2006.128884.[Abstract/Free Full Text]
  2. Vohra HA, Dimitri WR. Elective intraaortic balloon counterpulsation in high-risk off-pump coronary artery bypass grafting. J Card Surg 2006; 21:1–5.[CrossRef][Medline]

Related Article

Emergency conversion in off-pump coronary artery bypass grafting
Minoru Tabata, Shuichiro Takanashi, Tetsuya Horai, Toshihiro Fukui, and Yasuyuki Hosoda
Interactive CardioVascular and Thoracic Surgery 2006 5: 555-559. [Abstract] [Full Text] [PDF]




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