Abstract
Background. Off-pump coronary artery bypass (OPCAB) surgery is an established technique for the management of threevessel coronary artery disease. This study compared the clinical results of two different surgical approaches: median sternotomy and left anterolateral thoracotomy in patients undergoing OPCAB surgery. Methods. The study included two groups of 50 patients each with multivessel coronary artery disease matched for age, gender, extent of coronary disease, diabetes, hypertension and ejection fraction. Results. Preoperative characteristics were similar in the two groups. There were no deaths, or stroke. Patients undergoing median sternotomy received more grafts than those undergoing left anterolateral thoracotomy (3.30+/-0.8 vs 2.48+/-0.8 p<.001). The only difference in early hospital morbidity was the need for greater transfusion in the sternotomy than the thoracotomy group (p<.031). Hemoglobin levels (24 hours post-operatively) were also higher in the thoracotomy group (p<.001). Conclusion. The anterolateral thoracotomy is a safe surgical approach and a reliable alternative to median sternotomy in patients undergoing OPCAB surgery.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
