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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.55 (2009) >
Please use this identifier to cite or link to this item:
http://ir.fmu.ac.jp/dspace/handle/123456789/239
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| Title: | Aortic arch repair with coronary artery revascularization |
| Other Titles: | Aortic arch repair with CABG |
| Authors: | Wakamatsu, Hiroki
Sato, Yoichi
Takase, Shinya
Sato, Yoshiyuki
Satokawa, Hirono
Yokoyama, Hitoshi |
| Affiliation: | 心臓血管外科学講座 |
| Source title: | Fukushima Journal of Medical Science |
| Volume: | 55 |
| Issue: | 2 |
| Start page: | 52 |
| End page: | 60 |
| Issue Date: | Dec-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. |
| Publisher: | The Fukushima Society of Medical Science |
| Publisher (Alternative foam): | 福島医学会 |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/239 |
| Full text URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/239/1/FksmJMedSci_55_p52.pdf |
| ISSN: | 0016-2590 |
| DOI: | 10.5387/fms.55.52 |
| PubMed ID: | 20608095 |
| Rights: | © 2009 The Fukushima Society of Medical Science |
| Rights: | https://doi.org/10.5387/fms.55.52 |
| Appears in Collections: | Vol.55 (2009)
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