Complete myocardial revascularization on the beating heart with epicardial stabilization: Anesthetic considerations

2000 ◽  
Vol 14 (5) ◽  
pp. 534-539 ◽  
Author(s):  
Fernando G. Resano ◽  
Sotiris C. Stamou ◽  
Robert C. Lowery ◽  
Paul J. Corso
Keyword(s):  
Myocardial Revascularization ◽  
Beating Heart ◽  
Anesthetic Considerations

Myocardial revascularization in the elderly using beating heart coronary artery bypass surgery

2000 ◽  
Vol 69 (4) ◽  
pp. 1042-1047 ◽  
Author(s):  
Theodore C Koutlas ◽  
Joseph R Elbeery ◽  
J.Mark Williams ◽  
Jon F Moran ◽  
Nicola A Francalancia ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Myocardial Revascularization ◽  
The Elderly ◽  
Beating Heart

Hemodynamic Assessment Using Apical Suction versus Pericardial Retraction in Beating Heart Surgery

2008 ◽  
Vol 3 (3) ◽  
pp. 125-130 ◽  
Author(s):  
Jan F. Gummert ◽  
Joerg Raumanns ◽  
Ulrich T. Opfermann ◽  
Torsten Bossert ◽  
Joerg Ender ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Coronary Artery ◽  
Heart Surgery ◽  
Left Internal Mammary Artery ◽  
Myocardial Revascularization ◽  
Beating Heart ◽  
Volume Index ◽  
Inferior Wall ◽  
Off Pump ◽  
Hemodynamic Assessment

Objective Aim of this study was to evaluate the perioperative hemodynamic function using an apical suction device (Xpose = XS) versus standard pericardial retraction sutures (PS) during off-pump myocardial revascularization. Methods Twenty-seven consecutive patients (four female) with three-vessel disease receiving off-pump myocardial revascularization were prospectively evaluated. Mean age was 70 ± 8 years and mean ejection fraction was 55 ± 18%. Pulscontour continuous cardiac output, Swan Ganz catheter, and transesophageal echo measurements were performed. All patients received left internal mammary artery (LIMA)-left anterior descending grafting first. The XS or PS technique for marginal or right coronary artery branch exposure was used and after hemodynamic recovery the same measurements were performed using the other technique, thus each patient served as an intraindividual control. Finally, the anastomosis was performed in the respective territory. Results All procedures were completed as off-pump coronary artery bypass without perioperative complications. The mean confidence interval (L/min/m2)/mean arterial pressure (mm Hg) was 2.8 ± 0.5/87 ± 11 after opening the pericardium and 2.4 ± 0.4/75 ± 12 during left anterior descending exposure. During lateral wall exposure, it was 1.8 ± 0.6/67 ± 12 using XS and 1.9 ± 0.6/68 ± 12 using PS (P = ns). During inferior wall exposure, it was 2.1 ± 0.4/69 ± 12 using XS and 1.9 ± 0.4/68 ± 13 using PS (P = ns). No significant differences were seen comparing other parameters (cardiac output (CO), heart rate (HR), intrathoracic blood volume index) as well. Conclusions The lateral and inferior coronary arteries can be safely exposed on the beating heart with PS or XS technique. In individual patients, either XS or PS exposure yielded a better preservation of cardiac index and blood pressure compared with baseline.

Complete myocardial revascularization on the beating heart

1999 ◽  
Vol 178 (6) ◽  
pp. 501-504 ◽  
Author(s):  
Kihong Kwon ◽  
Dallyn Jenkins ◽  
Robert Firpo ◽  
Thomas Tzeng ◽  
John Craig
Keyword(s):  
Myocardial Revascularization ◽  
Beating Heart

scholarly journals Awake CABG on Beating Heart Under High Thoracic Epidural Anesthesia First Time in BSMMU

2009 ◽  
Vol 20 (2) ◽  
pp. 70-72
Author(s):  
Ashia Ali ◽  
Ahsanul Habib ◽  
Begum Marjan Mohol Choudhury ◽  
Sharif Hasan ◽  
Mostafizur Rahman
Keyword(s):  
Epidural Anesthesia ◽  
Artery Bypass ◽  
Myocardial Revascularization ◽  
Beating Heart ◽  
Thoracic Epidural Anesthesia ◽  
Spontaneous Respiration ◽  
Thoracic Epidural ◽  
Cardiac Centre ◽  
High Thoracic Epidural ◽  
First Time

Minimally invasive Coronary Artery Bypass Surgery (CABG) using Thoracic Epidural' Anesthesia (TEA) is nowadays considered to be a safe surgical strategy. The objective of TEA is to achieve somatosensory and motor block at TI to T8 level so that CABG can be done in - awake patient. In June 2006 when a 40 year old patient came to us in University Cardiac Centre (UCC) at BSMMU with double-vessel disease for CABG surgery, we considered it an opportunity to try this operation under only high thoracic epidural anesthesia without incubation. After taking the patient's consent, we proceeded to perform the awake CABG on beating heart (ACAS) - an operation attempted for the first time in BSMMU. The patient received TEA via an epidural catheter placed at the level of T1 -T2. Total arterial myocardial revascularization on was performed after sternotomy. The patient well tolerated all phases of the operation. Additional analgesics and sedatives required only during the sternotomy and sternal retraction. The patient's Blood Pressure (BP), SPO2, ABG, ETCO2, ECG, and all other parameters were within normal range throughout the whole procedure. The effect of movement of the chest wall and heart during spontaneous respiration did not affect the conduction of the surgery. The postoperative course was uneventful, and we were able to release the patient from the ICU on the second POD. Journal of BSA, Vol. 20, No. 2, July 2007 p.70-72

On-pump beating heart versus off-pump myocardial revascularization—a propensity-matched comparison

2021 ◽  
Author(s):  
Yashaskar Manjunatha Rao ◽  
Shreyas Potdar ◽  
Debasis Das ◽  
Atanu Saha ◽  
Lalit Kapoor ◽  
...  
Keyword(s):  
Myocardial Revascularization ◽  
Beating Heart ◽  
Off Pump ◽  
Matched Comparison
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