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Komarov R.N.

Sechenov First Moscow State Medical University

Kleshchev P.V.

Burdenko Main Military Clinical Hospital

Tkachev E.V.

Burdenko Main Military Clinical Hospital

Off-pump coronary artery bypass grafting in patients with coronary artery disease and concomitant aortic valve lesion

Authors:

Komarov R.N., Kleshchev P.V., Tkachev E.V.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(5): 456‑461

DOI: 10.17116/kardio202215051456

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Table of contents

OFF-PUMP CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH CORONARY ARTERY DISEASE AND CONCOMITANT AORTIC VALVE LESION
OFF-PUMP CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH CORONARY ARTERY DISEASE AND CONCOMITANT AORTIC VALVE LESION

To cite this article:

Komarov RN, Kleshchev PV, Tkachev EV. Off-pump coronary artery bypass grafting in patients with coronary artery disease and concomitant aortic valve lesion. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(5):456‑461. (In Russ.)
https://doi.org/10.17116/kardio202215051456

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the results of surgical treatment of patients with coronary artery disease and concomitant aortic valve lesion undergoing on-pump and off-pump myocardial revascularization.

MATERIAL AND METHODS

The study included 41 patients with coronary artery disease and concomitant aortic valve lesion who underwent simultaneous myocardial revascularization and aortic valve replacement. In the first group (n=22), on-pump coronary artery bypass grafting was performed. In the second group, 19 patients underwent off-pump revascularization.

RESULTS

Off-pump revascularization was characterized by significantly less aortic cross-clamping time (189.9±27.6 and 89.2±23.3 min, p<0.05), cardiopulmonary bypass time (149±30.5 and 128.9±27.4 min, p<0.05) and surgery time (327.5±62.8 and 274.5±30.8 min, p<0.05). There was also a significant reduction in blood transfusions (3.5±1.5 and 1.9±0.99 units of fresh frozen plasma, p<0.05; 2.1±0.6 and 1.3±0.7 units of packed red cells, p<0.05) and hospital-stay (17.1±6.4 and 13.6±4.5 days, p<0.05).

CONCLUSION

Off-pump myocardial revascularization in patients with combined pathology can significantly reduce aortic cross-clamping time, cardiopulmonary bypass time, surgery time, need for blood transfusion and length of hospital-stay.

Keywords:

off-pump coronary artery bypass grafting
aortic valve
coronary artery disease
OPCABG

Authors:

Komarov R.N.

Sechenov First Moscow State Medical University

Kleshchev P.V.

Burdenko Main Military Clinical Hospital

Tkachev E.V.

Burdenko Main Military Clinical Hospital

Received:

20.09.2021

Accepted:

11.10.2021

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References:

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