Off-Pump Coronary Artery Bypass Grafting for Acute Myocardial Infarction
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概要
- 論文の詳細を見る
Background The aim of this study was to evaluate the surgical results of off-pump coronary artery bypass grafting (OPCAB) for patients with acute myocardial infarction (AMI) within 14 days of the infarction. Methods and Results From April 2000 to January 2005 among 841 patients who underwent OPCAB, 43 consecutive patients (5.1%) were examined. Mean age at operation was 69.5 years and mean time from the onset of AMI to surgery was 4.6 days. Seventeen patients (39.5%) had left main trunk disease. Three patients (7.0%) underwent OPCAB following unsuccessful percutaneous coronary intervention, and 1 patient (2.3%) underwent redo procedure 9 years after previous coronary artery bypass grafting (CABG). Six patients (14%) were admitted in cardiogenic shock. Intraaortic balloon pumping was inserted preoperatively in 20 patients (46.5%). The average maximum creatine kinase-myocardial band was 139±181 (U/L). The mean number of grafts was 3.2 and the rate of complete revascularization was 91%. Two of six patients with preoperative cardiogenic shock were converted to on-pump beating CABG due to ventricular arrythmia. The early graft patency rate was 98%. All patients survived except 2 with preoperative cardiogenic shock. Conclusions OPCAB can be performed after AMI as a relativly low-risk procedure with an acceptable mortality rate, even within 14 days of the infarction.
- 2006-09-20
著者
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Kobayashi Junjiro
Cardiovascular Surgery, National Cardiovascular Center
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Kitamura Soichiro
Cardiovascular Surgery, National Cardiovascular Center
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Kobayashi Junjiro
National Cardiovascular Center
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Niwaya Kazuo
Department of Organ Transplantation
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Niwaya Kazuo
Cardiovascular Surgery, National Cardiovascular Center
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Bando Ko
Cardiovascular Surgery, National Cardiovascular Center
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Tagusari Osamu
Cardiovascular Surgery, National Cardiovascular Center
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Nakajima Hiroyuki
Department Of Organ Transplantation Cardiovascular Surgery National Cardiovascular Center
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Niwaya Kazuo
Department Of Cardiovascular Surgery National Cardiovascular Center
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Nishigami Kazuhiro
Department Of Cardiology National Cardiovascular Center
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Tagusari Osamu
Department Of Cardiovascular Surgery Kanto Medical Center Ntt East Corporation
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Yagihara Toshikatsu
Department Of Organ Transplantation Cardiovascular Surgery National Cardiovascular Center
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Yagihara Toshikatsu
Department Of Cardiovascular Surgery National Cardiovascular Canter
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Band Ko
Cardiovascular Surgery National Cardiovascular Center
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Bandoh Ko
Department Of Cardiovascular Surgery National Cardiovascular Center
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Takai Hideaki
Cardiovascular Surgery, National Cardiovascular Center
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Nakajima Hiroyuki
Cardiovascular Surgery, National Cardiovascular Center
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Yagihara Toshikatsu
Cardiovascular Surgery, National Cardiovascular Center
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Tsukamoto Osamu
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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Naito Hiroaki
Department Of Radiology And Nuclear Medicine National Cardiovascular Center
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Yagihara Toshikatsu
Cardiovascular Surgery National Cardiovascular Center
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Takai Hideaki
Dept. Cardiovascular Surg Tokyo Women's Medical Univ.
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Bando Ko
Cardiovascular Surgery National Cardiovascular Center
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Kitamura Soichiro
Cardiovascular Division Of In-ternal Medicine National Cardiovascular Center
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Nishigami Kazuhiro
Division Of Cardiovascular Medicine National Cardiovascular Center
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Takai Hideaki
Cardiovascular Surgery Nagasaki University School Of Medicine
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Bando Ko
Department Of Cardiovascular Surgery
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Tagusari Osamu
Department Of Cardiovascular Surgery The Heat Institute Of Japan Tokyo Women's Medical Universi
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Nakajima Hiroyuki
Cardiovascular Center Tohoku Welfare Pension Hospital
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Nishigami Kazuhiro
National Cardiovascular Center Research Institute
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KITAMURA Soichiro
Cardiovascular and Transplant Surgery, National Cerebral and Cardiovascular Center
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