Surgical Treatment of Left Main Coronary Artery Disease – Off-Pump CABG is a Good Option

Authors

  • Khawaja Nasir Uddin Mahmood Professor of Cardio-vascular Surgery, Ex Head of the Department of Cardio-vascular Surgery, National Institute of Cardiovascular Diseases, Dhaka
  • Subhash Chandra Mandal Associate Professor, Department of Cardio-vascular Surgery, National Institute of Cardiovascular Diseases, Dhaka
  • Saiful Haque Talukdar Associate Professor, Department of Cardio-vascular Surgery, National Institute of Cardiovascular Diseases, Dhaka

DOI:

https://doi.org/10.3329/bhj.v30i2.28813

Keywords:

Coronary artery disease, Coronary artery bypass, Off-pump

Abstract

There has been increasing interest in the potential benefit of off-pump coronary artery bypass (OPCAB) surgery when compared to conventional coronary artery bypass (CCAB) using cardiopulmonary bypass (CPB) in the presence of critical left main stem (LMS) Disease. A prospective observational study was conducted from January 2006 to June 2012 in the Department of Cardiac Surgery in the National Institute of Cardiovascular Diseases (NICVD), Dhaka. The study included total 110 patients with LMS disease who underwent CABG. 25 cases were done under CPB and 85 cases were done on beating heart. The two groups had similar baseline characteristics including age, sex, risk-factors, comorbid conditions and extent of coronary artery disease. There was no difference between the groups with respect to mortality, but the incidence of post-operative bleeding (p<0.05) , blood requirement (p d0.05), inotropic and ventilatory support, intensive care unit (ICU) care and post-operative hospital stay (p<0.05) were significantly reduced when performing off-pump CABG in this high-risk group of patients.

Bangladesh Heart Journal 2015; 30(2) : 61-67

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Author Biography

Khawaja Nasir Uddin Mahmood, Professor of Cardio-vascular Surgery, Ex Head of the Department of Cardio-vascular Surgery, National Institute of Cardiovascular Diseases, Dhaka



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Published

2016-07-20

How to Cite

Mahmood, K. N. U., Mandal, S. C., & Talukdar, S. H. (2016). Surgical Treatment of Left Main Coronary Artery Disease – Off-Pump CABG is a Good Option. Bangladesh Heart Journal, 30(2), 61–67. https://doi.org/10.3329/bhj.v30i2.28813

Issue

Vol. 30 No. 2 (2015)

Section

Original Articles

License

© Bangladesh Cardiac Society.  

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Articles in the Bangladesh Heart Journal are Open Access articles published under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC).  This license permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.