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Journal of Zhejiang University SCIENCE A 2004 Vol.5 No.8 P.1005-1008

http://doi.org/10.1631/jzus.2004.1005


Off-pump coronary artery bypass grafting versus on-pump coronary artery bypass grafting: which is better in patients with chronic obstructive pulmonary disease?


Author(s):  ZHU Ya-bing, XU Jian-ping, LIU Zhi-yong, YANG Dan-ning, LI Xü,-dong, LI Hong-yan

Affiliation(s):  Department of Thoracic and Cardiovascular Surgery, Affiliated Zhong-da Hospital, Southeast University, Nanjing 210009, China; more

Corresponding email(s):   b4878375@163.com

Key Words:  Chronic obstructive pulmonary disease, Coronary artery heart disease, Off-pump bypass, On-pump bypass, Respiratory function


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ZHU Ya-bing, XU Jian-ping, LIU Zhi-yong, YANG Dan-ning, LI Xü-dong, LI Hong-yan. Off-pump coronary artery bypass grafting versus on-pump coronary artery bypass grafting: which is better in patients with chronic obstructive pulmonary disease?[J]. Journal of Zhejiang University Science A, 2004, 5(8): 1005-1008.

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author="ZHU Ya-bing, XU Jian-ping, LIU Zhi-yong, YANG Dan-ning, LI Xü-dong, LI Hong-yan",
journal="Journal of Zhejiang University Science A",
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pages="1005-1008",
year="2004",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.2004.1005"
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%A ZHU Ya-bing
%A XU Jian-ping
%A LIU Zhi-yong
%A YANG Dan-ning
%A LI Xü
%A -dong
%A LI Hong-yan
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A1 - ZHU Ya-bing
A1 - XU Jian-ping
A1 - LIU Zhi-yong
A1 - YANG Dan-ning
A1 - LI Xü
A1 - -dong
A1 - LI Hong-yan
J0 - Journal of Zhejiang University Science A
VL - 5
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SP - 1005
EP - 1008
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PB - Zhejiang University Press & Springer
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DOI - 10.1631/jzus.2004.1005


Abstract: 
To evaluate the clinic outcome of off-pump coronary bypass grafting (OPCABG) of patients with coronary heart disease and chronic obstructive pulmonary disease, we collected and analyzed 1998-2002 data on 28 patients with these two diseases who had received off-pump coronary bypass operation in our hospital, and compared with data on those who also had the same two diseases but received on-pump coronary artery bypass at same time. There were no operation-related death; one died of respiratory failure 14 days after operation while staying in hospital; there were more respiratory complications in the conventional coronary artery bypass grafting group (CCABG) than in the OPCABG group; and the PaO2/FiO2 in the CCABG group was higher than that in the OPCABG group during operation because of CPB, but lower than that in the OPCABG group 6-12 hours after operation. OPCABG seemed more suitable than CCABG for coronary artery disease patients with chronic obstructive pulmonary disease due to less damage to their oxygen-exchange capability and the fewer respiratory complications.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

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[7] Mitchell, J.M., Kathleen, A.J., Sotiris, C.S., Albert, J.P., Todd, M.D., Mercedes, K.C.D., James, R.E., Syma, L.P., Tea, E.A., Paul, J.C., Michael, J.M., 2002. Elimination of cardiopulmonary bypass improves early survival for multi-vessel coronary artery bypass patients. Ann. Thorac. Surg., 73:1196-1203.

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