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Myocardial Protection During off-pump Coronary Artery Bypass Surgery [Anatol J Cardiol]
Anatol J Cardiol. 2001; 1(3): 197-201

Myocardial Protection During off-pump Coronary Artery Bypass Surgery

Hakan Poyrazoğlu1, Anıl Z. Apaydın2, Tanzer Çalkavur3, Halil Uç1
1Ege Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir
2Ege Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir
3Department of Cardiovascular Surgery, Faculty of Medicine, Ege University, İzmir, Turkey

Myocardial protection during off-pump coronary artery bypass surgery (OPCAB) is a multifactorial problem and choice of graft sequence, maintenance of stable systemic hemodynamics are of central importance. New devices for atraumatic stabilization of the heart and visulization of coronary anastomoses allow grafting of all coronary arteries without cordiopulmonary bypass. Perfusion-assisted direct coronary artery bypass (PADCAB) techniques, in which coronary perfusion is independent of systemic arterial pressure, can eliminate unstable hemodynamic and improve myocardial protection during complex, multivessel OPCAB.

Keywords: Koroner cerrahisi, pompasız, miyokardiyal koruma


Hakan Poyrazoğlu, Anıl Z. Apaydın, Tanzer Çalkavur, Halil Uç. Myocardial Protection During off-pump Coronary Artery Bypass Surgery. Anatol J Cardiol. 2001; 1(3): 197-201


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