A comparison of Off-pump and On-pump coronary artery bypass grafting for patients with respiratory dysfunction. | [Journal of Cardiovascular Diseases • 2004]

Author(s):

1. Zhu Yobing: Department of thoracic and Cardiovascular Surgery, Zhong Da Hospital of Southeast University, Nanjing, China

2. Liu Haying: Department of thoracic and Cardiovascular Surgery, Zhong Da Hospital of Southeast University, Nanjing, China

3. Li. Hogan: Department of thoracic and Cardiovascular Surgery, Zhong Da Hospital of Southeast University, Nanjing, China

Abstract:

To compare the clinical outcomes of off-pump coronary artery bypass grafting (OPCABG) and on-pump coronary artery bypass grafting or conventional coronary artery bypass grafting (CCABG) with Cardiopulmonary bypass (CPB) in patients with respiratory dysfunction. Data of 28 patients who has two specific respiratory diseases and had received off-pump coronary bypass operation in our hospital were summarized and compared with that of 19 patients who also had the same respiratory diseases but had received on-pump coronary artery bypass at our hospital from Jan 1998 to May 2002. There was no operation related death. One patients died of respiratory failure in hospital 14 days after the operation. There were more respiratory complications in the conventional coronary artery bypass grafting group (CCABG) than in the OPCABG group. The PaO2 / FiO2 in CCABG was higher than that in OPCABG during the operation because of CPB. But was lower than that in OPCABG 6-12 hours after the operation. The concentration of plasma intercellular adhesion molecule-1 showed an obvious difference between the two groups from 2 hours to 24 hours postoperatively. OPCABG seems more suitable than CCANG for coronary artery disease patients having chronic obstructive pulmonary disease since it causes less damage to the oxygen-exchange capability and produces less respiratory complications due to less inflammatory reaction.

Page(s): 3-6

DOI: DOI not available

Published: Journal: Journal of Cardiovascular Diseases, Volume: 2, Issue: 1, Year: 2004

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