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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
PubMed ID: 20608095
Rights: © 2009 The Fukushima Society of Medical Science
Appears in Collections:Vol.55 (2009)

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