Abstract
High-risk patients with multivessel disease (MVD) represent a surgical challenge carrying high mortality risk. These cases elicit discussion within heart teams regarding the actual benefit of undertaking major surgery on these patients and often lead to abandon the surgical option. Off-pump coronary artery bypass (OPCAB) provides good quality graft on left anterior descending (LAD) without exposing the patient to cardiopulmonary bypass, and, despite providing an incomplete revascularization, might be the ideal choice in patients with multiple comorbidities, not eligible to percutaneous or on-pump procedures.
Highlights
Background/Introduction High-risk patients with multivessel disease (MVD) represent a surgical challenge carrying high mortality risk
major adverse cardiac events (MACE) were observed in 6 patients in Off-pump coronary artery bypass (OPCAB) group and 4 patients in optimal medical therapy (OMT) group
Both survival from allcause mortality and cardiac-related events were in favor of the OPCAB group over the OMT which carried a propensity score-adjusted hazard ratio of 3.862 and 3.663, for all-cause and cardiac-related mortality respectively
Summary
Background/Introduction High-risk patients with multivessel disease (MVD) represent a surgical challenge carrying high mortality risk. Off-pump coronary artery bypass grafting versus optimal medical therapy: effectiveness of incomplete surgical myocardial revascularization in high-risk patients with multi-vessel coronary artery disease From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh Edinburgh, UK.
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