Limited access left thoracotomy for reoperative coronary artery disease: On or off pump

T. Z. Lajos, M. Akhter, J. Bergsland, G. Grosner, A. N. Lewin, Tomas Salerno, S. T. Raza, L. Levinsky, J. Bhayana, H. Karamanoukian, S. Hasnain

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Between 1971 and 1988 left thoracotomy was performed on pump for selected reoperations. Since 1993, 92 patients were operated on with a limited approach and an increased number of cases were done off pump (70 patients). The purpose of this paper is to describe the transition of our operative techniques from on pump to off pump for reoperative coronary patients. From 1995 to 1999, 22 patients (Group 1) were operated on pump and 70 patients (Group II) off pump; 86 of 92 (93.5%) had reoperations. The demographic data were similar in these two groups regarding age, gender, ejection fraction, and total number of grafts performed. In this study 92 patients had a crude mortality of 4.3%. Limited access thoractomy provides safer reoperation than previously (1971-1988) with an improved on or off pump (4.5% vs. 4.3%) mortality, compared to the on pump mortality of 10% between 1971-1988. Off-pump operations are performed with increasing frequency and with the same risk and less postoperative complications.

Original languageEnglish
Pages (from-to)291-295
Number of pages5
JournalJournal of Cardiac Surgery
Volume15
Issue number4
StatePublished - Dec 1 2000
Externally publishedYes

Fingerprint

Thoracotomy
Coronary Artery Disease
Reoperation
Mortality
Age Groups
Demography
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Lajos, T. Z., Akhter, M., Bergsland, J., Grosner, G., Lewin, A. N., Salerno, T., ... Hasnain, S. (2000). Limited access left thoracotomy for reoperative coronary artery disease: On or off pump. Journal of Cardiac Surgery, 15(4), 291-295.

Limited access left thoracotomy for reoperative coronary artery disease : On or off pump. / Lajos, T. Z.; Akhter, M.; Bergsland, J.; Grosner, G.; Lewin, A. N.; Salerno, Tomas; Raza, S. T.; Levinsky, L.; Bhayana, J.; Karamanoukian, H.; Hasnain, S.

In: Journal of Cardiac Surgery, Vol. 15, No. 4, 01.12.2000, p. 291-295.

Research output: Contribution to journalArticle

Lajos, TZ, Akhter, M, Bergsland, J, Grosner, G, Lewin, AN, Salerno, T, Raza, ST, Levinsky, L, Bhayana, J, Karamanoukian, H & Hasnain, S 2000, 'Limited access left thoracotomy for reoperative coronary artery disease: On or off pump', Journal of Cardiac Surgery, vol. 15, no. 4, pp. 291-295.
Lajos TZ, Akhter M, Bergsland J, Grosner G, Lewin AN, Salerno T et al. Limited access left thoracotomy for reoperative coronary artery disease: On or off pump. Journal of Cardiac Surgery. 2000 Dec 1;15(4):291-295.
Lajos, T. Z. ; Akhter, M. ; Bergsland, J. ; Grosner, G. ; Lewin, A. N. ; Salerno, Tomas ; Raza, S. T. ; Levinsky, L. ; Bhayana, J. ; Karamanoukian, H. ; Hasnain, S. / Limited access left thoracotomy for reoperative coronary artery disease : On or off pump. In: Journal of Cardiac Surgery. 2000 ; Vol. 15, No. 4. pp. 291-295.
@article{8b41681132f74a1cbf0c264f4b042920,
title = "Limited access left thoracotomy for reoperative coronary artery disease: On or off pump",
abstract = "Between 1971 and 1988 left thoracotomy was performed on pump for selected reoperations. Since 1993, 92 patients were operated on with a limited approach and an increased number of cases were done off pump (70 patients). The purpose of this paper is to describe the transition of our operative techniques from on pump to off pump for reoperative coronary patients. From 1995 to 1999, 22 patients (Group 1) were operated on pump and 70 patients (Group II) off pump; 86 of 92 (93.5{\%}) had reoperations. The demographic data were similar in these two groups regarding age, gender, ejection fraction, and total number of grafts performed. In this study 92 patients had a crude mortality of 4.3{\%}. Limited access thoractomy provides safer reoperation than previously (1971-1988) with an improved on or off pump (4.5{\%} vs. 4.3{\%}) mortality, compared to the on pump mortality of 10{\%} between 1971-1988. Off-pump operations are performed with increasing frequency and with the same risk and less postoperative complications.",
author = "Lajos, {T. Z.} and M. Akhter and J. Bergsland and G. Grosner and Lewin, {A. N.} and Tomas Salerno and Raza, {S. T.} and L. Levinsky and J. Bhayana and H. Karamanoukian and S. Hasnain",
year = "2000",
month = "12",
day = "1",
language = "English",
volume = "15",
pages = "291--295",
journal = "Journal of Cardiac Surgery",
issn = "0886-0440",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Limited access left thoracotomy for reoperative coronary artery disease

T2 - On or off pump

AU - Lajos, T. Z.

AU - Akhter, M.

AU - Bergsland, J.

AU - Grosner, G.

AU - Lewin, A. N.

AU - Salerno, Tomas

AU - Raza, S. T.

AU - Levinsky, L.

AU - Bhayana, J.

AU - Karamanoukian, H.

AU - Hasnain, S.

PY - 2000/12/1

Y1 - 2000/12/1

N2 - Between 1971 and 1988 left thoracotomy was performed on pump for selected reoperations. Since 1993, 92 patients were operated on with a limited approach and an increased number of cases were done off pump (70 patients). The purpose of this paper is to describe the transition of our operative techniques from on pump to off pump for reoperative coronary patients. From 1995 to 1999, 22 patients (Group 1) were operated on pump and 70 patients (Group II) off pump; 86 of 92 (93.5%) had reoperations. The demographic data were similar in these two groups regarding age, gender, ejection fraction, and total number of grafts performed. In this study 92 patients had a crude mortality of 4.3%. Limited access thoractomy provides safer reoperation than previously (1971-1988) with an improved on or off pump (4.5% vs. 4.3%) mortality, compared to the on pump mortality of 10% between 1971-1988. Off-pump operations are performed with increasing frequency and with the same risk and less postoperative complications.

AB - Between 1971 and 1988 left thoracotomy was performed on pump for selected reoperations. Since 1993, 92 patients were operated on with a limited approach and an increased number of cases were done off pump (70 patients). The purpose of this paper is to describe the transition of our operative techniques from on pump to off pump for reoperative coronary patients. From 1995 to 1999, 22 patients (Group 1) were operated on pump and 70 patients (Group II) off pump; 86 of 92 (93.5%) had reoperations. The demographic data were similar in these two groups regarding age, gender, ejection fraction, and total number of grafts performed. In this study 92 patients had a crude mortality of 4.3%. Limited access thoractomy provides safer reoperation than previously (1971-1988) with an improved on or off pump (4.5% vs. 4.3%) mortality, compared to the on pump mortality of 10% between 1971-1988. Off-pump operations are performed with increasing frequency and with the same risk and less postoperative complications.

UR - http://www.scopus.com/inward/record.url?scp=0034426524&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034426524&partnerID=8YFLogxK

M3 - Article

C2 - 11758066

AN - SCOPUS:0034426524

VL - 15

SP - 291

EP - 295

JO - Journal of Cardiac Surgery

JF - Journal of Cardiac Surgery

SN - 0886-0440

IS - 4

ER -