Mukhtar Ahmad, Rafaqat Ahmad Badar, Shahid Khalil.
Changing Trends in Coronary Artery Bypass Surgery.
Ann King Edward Med Uni Jan ;5(3,4):282-4.

CABG (Coronary Artery Bypass Grafting) is being conventionally performed by using CPB (Cardiopulmonary Bypass). This procedure is not free of certain risks associated with Heart Lung Machine and other components of CPB. Patients associated with certain diseases e.g. chronic renal failure, chronic pulmonary insufficiency, severe carotid disease and bleeding disorders which render them as high risk for multi-system organ failure when on extra corporeal circulation. Recently it has become possible to perform CABG (Coronary Artery Bypass Grafting) without CPB (Cardiopulmonary Bypass) in these patients. Author has performed 25 operations of CABG (Coronary Artery Bypass Grafting) without CPB (Cardiopulmonary Bypass) at PIC and Mayo Hospital Lahore till June 1999.There was no mortality and the cost of the procedure was minimal. No patient required inotropic support. Average ventilatory time and ICU stay was markedly reduced. Post-operative blood transfusion requirement was 0.5 unit per patient. 33.3% patients had single vessel disease, whereas the other 66.6% had double vessel disease. We did not have any peri-operative complications i.e. perioperative infarct, stroke or any major respiratory complication. Initial experience of direct CABG on the beating heart has created a new hope that this could be an effective technique for myocardial revascularisation in selected group of patients.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com