Aydin Ahmet, Erkut Bilgehan
Bilgehan Erkut, Prof, MD, Cardiovascular Surgery,, Erzincan University Medical Faculty,, Gazi Mengücek Training and Research Hospital,, 24000, Erzincan, Turkey, T: + 90 533 7451006, F: + 90 442 2326405,
Ann Saudi Med. 2015 Mar-Apr;35(2):133-7. doi: 10.5144/0256-4947.2015.133.
On-pump beating heart coronary artery bypass grafting (CABG) may be considered as an alternative to the conventional on-pump surgery in patients presenting with acute coronary syndrome requiring emergency revascularization. This study reports our clinical experience and early outcomes with the on-pump beating heart coronary surgery on patients with acute coronary syndrome.
A retrospective study conducted from August 2009 to October 2015, in a regional training and research hospital in Turkey.
A total of 1432 patients underwent isolated CABG at our institution. A total of 316 of these patients underwent the on-pump beating heart procedure without cardioplegic arrest by the same surgeon.
The time interval from the onset of acute myocardial infarction to CABG was 10 (2.2) hours. The mean number of grafts was 3.0 (0.6). Hospital mortality was 2.9% (9 patients). Twelve patients had low cardiac output syndromes after surgery. Eight of them had renal dysfunction but none of them needed hemodialysis. The mean intensive care unit stay was 3 (2) days and the mean hospital length of stay was 7 (4) days.
We think that the on-pump beating heart revascularization technique can be a good choice for emergency CABG of high-risk patients with a multivessel coronary artery disease.
对于患有急性冠状动脉综合征需要紧急血运重建的患者，体外循环心脏不停跳冠状动脉搭桥术（CABG）可被视为传统体外循环手术的一种替代方法。本研究报告了我们对急性冠状动脉综合征患者进行体外循环心脏不停跳冠状动脉手术的临床经验和早期结果。
2009年8月至2015年10月在土耳其一家地区培训和研究医院进行的一项回顾性研究。
共有1432例患者在我们机构接受了单纯CABG手术。其中316例患者由同一位外科医生进行了体外循环心脏不停跳手术，未使用心脏停搏液。
从急性心肌梗死发作到CABG的时间间隔为10（2.2）小时。平均移植血管数量为3.0（0.6）支。医院死亡率为2.9%（9例患者）。12例患者术后出现低心排血量综合征。其中8例有肾功能不全，但均无需血液透析。重症监护病房平均住院时间为3（2）天，平均住院时间为7（4）天。
我们认为，体外循环心脏不停跳血运重建技术对于多支冠状动脉疾病的高危患者进行急诊CABG可能是一个不错的选择。
