文章基本信息

标题：The influence of beating coronary bypass in combination with right-heart bypass on postoperative management
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作者：Mitsuhide Yabe ; Tokuhiro Yamada ; Koji Azuma 等
期刊名称：循環制御
印刷版ISSN：0389-1844
出版年度：2005
卷号：26
期号：2
页码：148-151
DOI：10.11312/ccm.26.148
出版社：Japan Society of Circulation Control in Medicine
摘要：Beating coronary artery bypass graft in combination with right-heart bypass(RHB) has been reported to be a safer procedure, particularly in patients at a high risk for neurological complications. This retrospective study investigated whether beating coronary bypass with RHB is less minimally-invasive as off-pump coronary artery bypass graft(CABG) than on-pump CABG at the postoperative period. We included 41 patients(on-pump group 18, off-pump group 18, RHB group 5), who underwent CABG at Osaka Rosai Hospital between 2002 and 2004. We excluded the cases with heart valve disease, renal failure, and hepatic insufficiency. In both the RHB group and the off-pump group, patients could be extubated earlier after operation than the on-pump group patients. Postoperative 24h bleeding and catecholamine(dopamine, dobutamine) doses were less in both the RHB and off-pump groups than the on-pump group. Postoperative management of beating CABG in combination with RHB may be less minimally-invasive, as off-pump CABG group, than the on-pump CABG group.
关键词：Right-heart bypass ; Off-pump CABG ; Postoperative management