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Aortic arch repair with coronary artery revascularization.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Wakamatsu, Hiroki Sato, Yoichi Takase, Shinya Sato, Yoshiyuki Satokawa, Hirono Yokoyama, Hitoshi |
| Copyright Year | 2009 |
| Abstract | OBJECTIVE Simultaneous aortic arch repair and coronary artery bypass are associated with considerable morbidity and mortality. We retrospectively analyzed our experience with on- and off-pump coronary artery bypass (CAB) combined with aortic arch repair. METHODS Before aortic arch repair, distal coronary artery anastomosis was constructed on the arrested heart under CAB (ONCAB: n=14), or on the beating heart before CAB (OPCAB: n=18). We also analyzed data from patients after isolated total arch replacement (TAR: n=20). RESULTS Compared with ONCAB, OPCAB was associated with shorter periods of myocardial ischemia (133 +/- 24 vs. 180 +/- 48 min, P = 0.017) and cardiopulmonary bypass (239 +/- 35 vs. 306 +/- 61 min, P = 0.002), less prolonged postoperative ventilation (33% vs. 79%, P = 0.027) and lower postoperative peak CK-MB levels (35 +/- 19 vs. 99 +/- 124 U/L, P = 0.012). One (6%) patient after OPCAB and 3 (21%) after ONCAB (P = 0.210) died in hospital. Compared with the TAR group, the myocardial ischemic periods after OPCAB (125 +/- 30 vs. 133 +/- 24 min, P = 0.401) and postoperative outcomes were similar. CONCLUSIONS Aortic arch repair with OPCAB offers an option for treating aortic arch aneurysm accompanied by atherosclerotic coronary artery disease. |
| Starting Page | 52 |
| Ending Page | 60 |
| Page Count | 9 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://ir.fmu.ac.jp/dspace/bitstream/123456789/239/1/FksmJMedSci_55_p52.pdf |
| PubMed reference number | 20608095v1 |
| Volume Number | 55 |
| Issue Number | 2 |
| Journal | Fukushima journal of medical science |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Aneurysm Aortic Aneurysm, Thoracic Aortic Valve Insufficiency Aortic arch structure Arteriopathic disease Cardiac Arrest Cardiopulmonary Bypass Cessation of life Coronary Artery Bypass Surgery Coronary Artery Bypass, Off-Pump Coronary Artery Disease Creatine Kinase MB Isoenzyme Morbidity - disease rate Myocardial Infarction Myocardial Ischemia Ninety Nine Patients Respiration Seventy Nine Thrombocytopenia-Absent Radius Syndrome revascularization |
| Content Type | Text |
| Resource Type | Article |
