Off-Pump Coronary Artery Bypass Grafting Improves Early Clinical Outcomes Including Operative Mortality.

Whether coronary artery bypass grafting (CABG) should be performed on- or off-pump remains a matter of debate. We aim to present our experience with off-pump CABG. Early clinical outcome and adverse events were analyzed over the time course of the study.

Mammary artery patch reconstruction of left anterior descending coronary artery.

Most patients with diffuse coronary disease require endarterectomy for revascularization. In view of the high morbidity and mortality associated with coronary endarterectomy, patch angioplasty and reconstruction of the coronary artery was developed. We retrospectively evaluated 104 patients who underwent mammary artery patch angioplasty of the left anterior descending coronary artery.

Vettath's technique of long mammary patch reconstruction of a diffusely diseased left anterior descending coronary artery without endarterectomy on the beating heart.

Surgery for diffuse coronary artery disease requires coronary reconstruction with or without endarterectomy. Considering the immediate and late postoperative problems of coronary endarterectomy, many surgeons now prefer coronary reconstruction without endarterectomy. Patch reconstruction of the diseased coronary artery with either the internal mammary artery or another conduit is an attractive option.

Vettath's blower and blower/mister - a simple device for OPCAB surgery.

Since the advent of off-pump coronary artery bypass surgery, a blower/mister has been routinely used in cardiac operation theatres. In our setup, in an attempt to reduce the cost of coronary artery bypass grafting by performing off-pump coronary artery bypass, reusable materials have been routinely used.

Traumatic suprahepatic inferior vena cava injury: surgical management.

: Suprahepatic inferior vena caval (IVC) injuries are rare but carry nearly a 100% mortality rate. The main problem with its surgical management is the technical difficulty in draining the IVC during cardiopulmonary bypass. In this report, an efficient method of IVC drainage for repair of the IVC on cardiopulmonary bypass is described.

Tuberculosis of thymus--a case report.

Tuberculosis rarely figures in the list of thymic masses. We hereby report a case of thymic tuberculosis successfully managed with surgical excision and antituberculouschemotherapy.

Simultaneous off-pump coronary artery bypass grafting and ascending aortobifemoral bypass graft via ventral abdominal route.

Aortoiliac disease often coexists with coronary artery disease. It is not uncommon to subject a patient to two separate interventions. We report two cases in which in simultaneous off-pump coronary artery bypass grafting was done with an ascending aortobifemoral bypass graft through the ventral abdominal route without any additional morbidity.

Vettath's anastamotic obturator--our experience of 269 proximal anastomoses.

Background: Coronary artery bypass grafting (CABG) has come full circle-it started as an off-pump affair, then became an on pump one and now we are trying to keep off the pump again. One of the main reasons for this has been the neurological sequelae subsequent to CABG. But neurological problems kept causing concern even in off-pump CABGs (OPCAB).

Off-pump excision of left atrial appendage aneurysm: a case report.

Isolated congenital intrapericardial aneurysm of the left atrium (LA) or the left atrial appendage (LAA) is a rare anomaly [Zhao 1999]. The patient usually presents with features of systemic embolization, serious arrhythmia, and severe congestive cardiac failure as a complication, which can be fatal. Once the condition is diagnosed, surgery is indicated [Zhao 1999].

Vettath's anastomotic obturator: a simple proximal anastomotic device.

Background: Off-pump coronary artery bypass grafting has been shown to improve the postoperative course of patients undergoing coronary artery bypass grafting (CABG) surgery, but the need for side-clamping the aorta to perform the proximal anastomosis is still a risk factor for causing neurologic injury postoperatively. Hence, our endeavor to fabricate an obturator to perform the proximal anastomosis without side-clamping the aorta is described.

Methods: From July 2002 to February 2003, we performed more than 150 CABG surgeries in our new cardiac center, and 92 patients had proximal saphenous vein graft anastomoses performed with Vettath's anastomotic obturator (VAO).