Outcome of off-pump coronary artery bypass graft (OPCAB) surgery: Analysis of 129 cases

Authors

  • AKM Manzurul Alam Professor of Cardiovascular and Thoracic Surgery, National Institute of Cardiovascular Diseases (NICVD), Dhaka
  • Istiaq Ahmed Assistant Professor of Cardiovascular and Thoracic Surgery,NICVD, Dhaka
  • Manzil Ahmed Assistant Professor of Cardiovascular and Thoracic Surgery,NICVD, Dhaka
  • Al Mamun Hossain Assistant Registrar of Cardiovascular and Thoracic Surgery, NICVD, Dhaka

DOI:

https://doi.org/10.3329/bhj.v31i1.30617

Keywords:

Coronary artery disease, Cardiac Surgery, Coronary artery bypass graft, Off-pump

Abstract

Coronary artery disease (CAD) is a leading cause of morbidity and mortality worldwide, including Bangladesh. Besides medical and interventional treatment, coronary artery bypass graft (CABG) surgery in an effective modality for the management of a subset of CAD patients. Off-pump coronary artery bypass graft (OPCAB) surgery is a recent modification of conventional CABG surgery, which, like other parts of the world, is being increasingly practiced in Bangladesh. But the outcome of this relatively recent surgical approach in our setting is largely unknown. In this study, the outcomes of 129 cases off-pump CABG surgery done in a tertiary cardiovascular centre and a private institute in Dhaka were analyzed. Majority (67, 54.2%) had triple vessel disease (TVD), while 4 (3.2%) patients had left main disease. One, two and three grafts were used in 17 (13.2%),74 (57.4%) and 38 (29.4%) cases respectively. There was no mortality. Post-operative complications occurred in 17 (13.18%) patients; secondary wound infection in 10 (7.75%) and immediate respiratory distress in 7 (5.43%) cases. Ten (7.75%) patients needed secondary stitches.

Bangladesh Heart Journal 2016; 31(1) : 23-25

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Author Biography

AKM Manzurul Alam, Professor of Cardiovascular and Thoracic Surgery, National Institute of Cardiovascular Diseases (NICVD), Dhaka



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Published

2016-12-12

How to Cite

Alam, A. M., Ahmed, I., Ahmed, M., & Hossain, A. M. (2016). Outcome of off-pump coronary artery bypass graft (OPCAB) surgery: Analysis of 129 cases. Bangladesh Heart Journal, 31(1), 23–25. https://doi.org/10.3329/bhj.v31i1.30617

Issue

Vol. 31 No. 1 (2016)

Section

Original Articles

License

© Bangladesh Cardiac Society.  

Creative Commons Licence
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.