Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
ISSN: 2155-9880
Jose De Oliveira Lima Junior, Renato B Dauar, Heloisa Calife, Fares G Abdulmassih, Richard H Cabral and Roberto Dos Santos
AcceptedAbstracts: J Clin Exp Cardiolog
Objective: To evaluate the initial results of coronary artery bypass grafting without cardiopulmonary bypass, with use of an intra-aortic balloon pump, hemodynamic support as to prevent the establishment of cardiopulmonary bypass, in cases with intraoperative hemodynamic instability. Methods: Retrospective analysis of a sequential series of 916 patients undergoing coronary artery bypass grafting without cardiopulmonary bypass, between January 2004 and October 2006, of which only 31 (3.4%) required implantation of an intra- aortic balloon. The age ranged 45-83 years (62 � 20.09), 21 (67.8%) were male. The fraction of left ventricular ejection preoperative ranged from 20% to 35% (28.72% � 6.78). Results: The hospital mortality was 3.22%. Only one patient (3.22%) required the establishment of cardiopulmonary bypass. There was no infarction in the perioperative period and no complications associated with intra-aortic balloon was observed. The mean length of stay in intensive care unit was 2.79 � 1.3 days and hospitalization 5.6 � 1.93. The extent of CABG planned preoperatively, was achieved in all patients. Four patients (13%) received a graft, thirteen (43%) received two, eight (26%) received three and six (19%) received four grafts. Conclusion: The early use of an intra-aortic balloon pump, intraoperative for hemodynamic stabilization without use of cardiopulmonary bypass is a viable alternative with good results.
Jose De Oliveira Lima graduated in Medicine from the University of S�o Paulo (1991-1996). Residency in General Surgery at the Hospital of the Faculty of Medicine, University of S�o Paulo (1997-1998). Resident in Cardiovascular Surgery at the Heart Institute of the Clinical Hospital of the Faculty of Medicine, University of S�o Paulo (1999-2001). Preceptor, Department of Cardiovascular Surgery, Heart Institute of the Clinical Hospital of the Faculty of Medicine, University of S�o Paulo (2002-2004). Specialist in Cardiovascular Surgery Brazilian Society of Cardiovascular Surgery. Title of Doctorate in Medicine (Cardiovascular Surgery at the University of S�o Paulo). Physician, Division of Cardiovascular Surgery, Heart Institute of the Clinical Hospital of the Faculty of Medicine, University of S�o Paulo-Group of Cardiac Transplantation. Collaborating Professor, Faculty of Medicine, University of S�o Paulo. Coordinator of the Department of Cardiac Transplantation of the Brazilian Association of Organ Transplantation (ABTO). Practice concentrated in Cardiovascular Surgery, on the following subjects: Surgical Treatment of Heart Failure, Heart Transplantation, Mechanical Circulatory Assist