Abstract

Aim: To evaluate effectiveness and outcome of off-pump coronary artery bypass graft surgery in patients with left main coronary artery disease and acute coronary syndrome, to define the optimal period for operation. 

Materials and Methods: The study was based on the retrospective analysis of treatment patients with left main coronary artery disease and acute coronary syndrome, who underwent on-pump coronary artery bypass (n = 31) and off-pump coronary artery bypass graft surgery (n = 31). Endpoints were evaluated in early postoperative period during hospitalization. 

Results: Off-pump coronary artery bypass allow reducing mortality rate in early postoperative period, and improving operative and postoperative characteristics (blood loss after operation, operation time, transfusion of blood products). However, the revascularization index was higher in the on-pump group. Operation under cardiopulmonary bypass performed at deferred period (14 - 28 days after ACS) was associated with increased mortality. There is no mortality in off-pump surgery. 

Conclusion: Operations on the working heart are safe and effective in patients with acute coronary syndrome, and may be considered in patients with left main coronary artery disease. 

Keywords: Left Main Coronary Artery; Acute Coronary Syndrome; Off-Pump; Ischemic Heart Disease

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Citation

Citation: Ilia Nikolaevich Staroverov., et al. “Coronary Artery Bypass Graft Surgery in Patients with Left Main Coronary Artery Disease and Acute Coronary Syndrome". Acta Scientific Medical Sciences 4.4 (2020): 51-55.

Copyright

Copyright: © 2020 Ilia Nikolaevich Staroverov., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.