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Asian Cardiovasc Thorac Ann 2008;16:159-161
© 2008 Asia Publishing EXchange Ltd

HOW TO DO IT

Left Heart Pump-Assisted Beating Heart Coronary Surgery in High-Risk Patients

Paolo Pepino, MD, Piermario Oliviero, MD, Francesco Petteruti, MD, Luigi di Tommaso, MD1, Mario Monaco, MD1, Paolo Stassano, MD1

Department of Cardiothoracic Surgery, Clinica Pineta Grande, Castel Volturno
1 Department of Cardiac Surgery, University "Federico II", Naples, Italy

For reprint information contact: Paolo Pepino, MD, Tel: 39 082 385 4246, Fax: 39 082 385 4439, Email: paolo.pepino{at}fastwebnet.it, Via A. Manzoni 78, 80123 Naples, Italy.

A simple technique of left ventricular assistance, offering the advantages of both cardiopulmonary bypass and off-pump revascularization, was adopted for high-risk patients. It was used in 56 patients with critical left main stenosis and occluded right coronary artery, severely reduced ejection fraction and/or unstable angina. All patients underwent complete and successful myocardial revascularization (3.4 grafts per patient). Weaning from the pump was uncomplicated, and none required conversion to full cardiopulmonary bypass.




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[Abstract] [Full Text] [PDF]


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