Mehmet Ali Şahin, Mehmet Yokusoglu, Ertuğrul Özal and Erkan Kuralay*
Received:May 3, 2021; Published: May 13, 2021
Corresponding author: Erkan Kuralay, Alife Hospital Cardiac Surgery Department Ankara-Turkey
DOI: 10.32474/ACR.2021.03.000168
To view the Full Article Peer-reviewed Article PDF
Introduction: Risk of conversion to on-pump surgery is one of the concerns about off-pump CABG surgery. Conversion to onpump surgery carries high morbidity and mortality risk. Our study aimed to investigate the relation between transverse heart and the risk of conversion to on-pump CABG .
Materials and Methods: Our study consisted of 3000 patients who underwent isolated off-pump CABG surgery between June 2010 and February 2020. All patients have at least one CABG in the Cx region. We have described vertical and transverse heart according to angle between the left anterior descending artery (LAD) and the left part of the sternal retractor.
Results: Our conversion rate was 7.1%. The average intensive care unit (ICU) stay was 1.17±0.10 days in successful off-pump surgery but 3.11±2.11 days in converted surgery (p=0.001).Average hospital stay was 4.35±1.44 days in off-pump surgery but 7.28±3.31 days (p=0.001) in converted surgery. Twenty-eight patients (1%) died in successful off-pump surgery, but 12 patients (5.6%) died in off-to-on converted surgery(p=0.001).Multivariate analysis has shown that ejection fraction less than 30% (LVEF<30%), cardiomegaly, congestive heart failure (CHF), and transverse heart as a predictor of conversion.
Conclusion: Conversion to off-to-on surgery still has contraversial results. Analysis of predictors preoperative and inspection of heart just before coronary anastomosis should be carefully done. The transverse heart was the statistically significant off-to-on conversion predictor of our study.
Keywords: Off-Pump Surgery; Vertical Heart; Transverse Heart
Abstract| Introduction| Material and Methods| Surgical Technique| Results| Comments| Conclusion| References|
Bio chemistry
University of Texas Medical Branch, USADepartment of Criminal Justice
Liberty University, USADepartment of Psychiatry
University of Kentucky, USADepartment of Medicine
Gally International Biomedical Research & Consulting LLC, USADepartment of Urbanisation and Agricultural
Montreal university, USAOral & Maxillofacial Pathology
New York University, USAGastroenterology and Hepatology
University of Alabama, UKDepartment of Medicine
Universities of Bradford, UKOncology
Circulogene Theranostics, EnglandRadiation Chemistry
National University of Mexico, USAAnalytical Chemistry
Wentworth Institute of Technology, USAMinimally Invasive Surgery
Mercer University school of Medicine, USAPediatric Dentistry
University of Athens , GreeceThe annual scholar awards from Lupine Publishers honor a selected number Read More...