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Synchronous Carotid Endarterectomy and Anaortic Off-Pump Coronary Artery Bypass Surgery
We present the outcomes of a series of synchronous carotid endarterectomy (CEA) and anOPCAB.
Source: Heart, Lung and Circulation - March 10, 2023 Category: Cardiology Authors: Fabio Ramponi, Michael Seco, Paul Gerard Bannon, Leonard Kritharides, Raffi Qasabian, Michael Keith Wilson, Michael Patrick Vallely Tags: Original Article Source Type: research

Redo CABG: Where Every Ounce of Experience Matters Regardless of the Technique
In this issue of Heart, Lung and Circulation, Tzoumas et  al. [1] report A Meta-Analysis of Repeat Coronary Artery Bypass Grafting comparing Off-Pump to On-Pump Techniques in a Large Cohort of Patients. They concluded that off-pump redo coronary artery bypass graft (CABG) resulted in lower perioperative death and periprocedural complication rates, and th ere was no difference observed in perioperative stroke rates and long-term survival between the two techniques. However, we commend the authors for acknowledging that there were limitations to their conclusions, thus limiting generalisation of their findings.
Source: Heart, Lung and Circulation - July 6, 2021 Category: Cardiology Authors: Adam El-Gamel Tags: Editorial Source Type: research

Comorbidities and Ventricular Dysfunction Drive Excess Mid-Term Morbidity in an Indigenous Australian Coronary Revascularisation Cohort
There is a paucity of data in regards to longer term morbidity outcomes in Indigenous Australian patients undergoing coronary artery bypass grafting (CABG). No comparative data on re-infarction, stroke or reintervention rates exist. Outcome data following percutaneous coronary intervention (PCI) is also extremely limited. Addressing this gap in knowledge forms the major aim of our study.
Source: Heart, Lung and Circulation - April 24, 2018 Category: Cardiology Authors: Paul D Wiemers, Lucy Marney, Nicole White, Georgina Bough, Alistair Hustig, Wei Tan, Ching-Siang Cheng, Dong Kang, Sumit Yadav, Robert Tam, John F Fraser Tags: Original Article Source Type: research

Composite Y Grafts from the Left Internal Mammary Artery: Current Considerations
The use of composite coronary artery bypass grafts from the left internal mammary artery (LIMA) has increased over the last 20 years. Total arterial revascularisation can be achieved with two arterial conduits and is associated with a reduced risk of stroke. However, the traditional coronary bypass graft configurations of the in situ LIMA and aorto-coronary saphenous vein grafts remain as the mainstay of coronary bypass surgery in most centres. Concerns regarding composite Y grafts relate to (1) the adequacy of a single inflow for all coronary bypass grafts; (2) the risk of compromising the LIMA flow to the left anterior d...
Source: Heart, Lung and Circulation - October 28, 2017 Category: Cardiology Authors: Hugh S. Paterson, Paul G. Bannon Tags: Editorial Source Type: research

Single-Centre Experience of Off-Pump Multi-Vessel Coronary Artery Bypass Grafting Using Proximal Suture Device
To investigate the results of off-pump coronary artery grafting (OPCAB) with the proximal suture device (PSD) regarding postoperative stroke and graft patency.
Source: Heart, Lung and Circulation - December 21, 2016 Category: Cardiology Authors: Suguru Ohira, Kiyoshi Doi, Satoshi Numata, Sachiko Yamazaki, Keiichi Itatani, Hidetake Kawajiri, Kazuki Morimoto, Hitoshi Yaku Source Type: research

Successful Hybrid Coronary Artery Revascularisation in a Patient with Severe Cerebrovascular Disease - a New Treatment Option to Minimise the Risk of Stroke
Coronary artery bypass surgery (CABG) is the treatment of choice for patients with severe unprotected left main disease. CABG does however expose patients to a higher risk of cerebrovascular accidents when compared to percutaneous coronary intervention (PCI).
Source: Heart, Lung and Circulation - July 27, 2016 Category: Cardiology Authors: A. Challa, E. Shaw, C. Raffel, P. Pohlner Tags: 147 Source Type: research

Total-Arterial, Aortic No-Touch, Coronary Artery Bypass Grafting using Composite Grafts with Two Internal Mammary Artery Inflows
We describe a method of complete myocardial revascularisation using composite arterial grafts with two internal mammary artery (IMA) inflows. This enables an “aortic no-touch” method, which may reduce the rate of stroke. It also offers the survival advantage associated with the use of two IMAs.
Source: Heart, Lung and Circulation - June 17, 2016 Category: Cardiology Authors: Michael Wilson, James Edelman, Michael Seco, Andrew Sherrah, James Wood, Michael Vallely Source Type: research

Effect of Posterior Pericardiotomy on the Incidence of Postoperative Atrial Fibrillation in 1000 Consecutive Isolated CABG
Purpose: Postoperative atrial fibrillation (POAF) is the most common arrhythmia and morbidity after cardiac surgery and is associated with prolonged hospital stay, stroke and increased costs. At the Royal Hobart Hospital, one of the two surgeons routinely performed posterior pericardiotomy for patients undergoing coronary artery bypass grafting (CABG). We took this opportunity to review risk factors associated with postoperative atrial fibrillation and in particular if posterior pericardiotomy reduces the incidence of postoperative atrial fibrillation.
Source: Heart, Lung and Circulation - June 17, 2016 Category: Cardiology Authors: Siew Simg Christine Goh, Gary Hamilton, Rose Stewart, Sameer Thakur, Mark Murton, Ashutosh Hardikar Source Type: research

Cardiac Surgery in Indigenous Australians: Early Onset Cardiac Disease with follow-up Challenges
Conclusions: The mean age of 52 years at which Indigenous patients have cardiac surgery is significantly low compared to non-Indigenous patients. Indigenous patients have multiple risk factors for cardiac disease and with a large number requiring emergency surgery. Although surgical outcome in the short term is favourable, a large number of patients are lost to follow-up. The use of mechanical valve and warfarin should be individualised. Strategic post-operative follow-up mechanisms are needed to address these issues.
Source: Heart, Lung and Circulation - February 24, 2014 Category: Cardiology Authors: M.P. Matebele, S. Rohde, A. Clarke, J.F. Fraser Tags: Original Articles Source Type: research

Influencing Factors for Early Acute Cerebrovascular Accidents in Patients with Stroke History following Off-pump Coronary Artery Bypass Grafting
Conclusions: This study indicated that patients with severe bilateral carotid stenosis, the left ventricular ejection fraction ≤35%, the postoperative acute myocardial infarction, postoperative atrial fibrillation and postoperative hypotension were more likely to suffer from early acute cerebrovascular accidents when they received OPCAB. Application of Enclose® II proximal anastomotic device may decrease the incidence of early acute cerebrovascular accidents during OPCAB.
Source: Heart, Lung and Circulation - February 10, 2014 Category: Cardiology Authors: Bin Wang, Ming Jia, Shijie Jia, Jiuhe Wan, Xiao Zhou, Zhimin Luo, Ye Zhou, Jianqun Zhang Tags: Original Articles Source Type: research

Surgical Aortic Valve Replacement in Very Elderly Patients Aged 80 Years and Over: Evaluation of Early Clinical Outcomes
Background: An increasing number of very elderly patients aged ≥80 years will require aortic valve replacement (AVR) for severe aortic stenosis (AS). Many are classified as high-risk surgical candidates. Transcatheter aortic valve implantation (TAVI) has been proposed as an alternative to surgical AVR (SAVR) for high-risk patients. We evaluated early clinical outcomes of very elderly patients undergoing SAVR to optimise TAVI candidate selection.Methods: We conducted a retrospective case review of 132 consecutive patients aged ≥80 years undergoing isolated SAVR (49 patients) or combined SAVR/CABG (83 patients) during Fe...
Source: Heart, Lung and Circulation - September 9, 2013 Category: Cardiology Authors: Edwin Ho, Manu N. Mathur, Peter W. Brady, David Marshman, Russell J. Brereton, Donald E. Ross, Ravinay Bhindi, Peter S. Hansen Tags: ORIGINAL ARTICLES Source Type: research

The Effect of Optimising Cerebral Tissue Oxygen Saturation on Markers of Neurological Injury during Coronary Artery Bypass Graft Surgery
Background: Surgical revascularisation of the coronary arteries is a cornerstone of cardiothoracic surgery. Advanced age and the incidence of preoperative co-morbidity in patients presenting for coronary artery bypass graft surgery increases the potential for stroke and other perioperative outcomes. It is hypothesised that by using interventions during cardiac surgery to improve cerebral oxygenation, the risk of patients enduring adverse neurological outcomes would be reduced.Methods: Forty patients (mean age 55.3, standard deviation 9.74 and range from 39 to 72 years) undergoing on-pump coronary artery bypass graft surger...
Source: Heart, Lung and Circulation - August 2, 2013 Category: Cardiology Authors: Yakeen Harilall, Jamila Kathoon Adam, Bruce Mclure Biccard, Anu Reddi Tags: Original Articles Source Type: research

Anaortic Off-Pump Coronary Artery Bypass Grafting in the Elderly and Very Elderly
Conclusions: OPCAB is associated with low rates of 30-day mortality and peri-operative stroke in this elderly and very elderly patient cohort. Anaortic OPCAB can provide excellent short-term post-operative outcomes and may give the elderly and very elderly population the opportunity to benefit from surgical coronary revascularisation.
Source: Heart, Lung and Circulation - July 8, 2013 Category: Cardiology Authors: Edward A. Cooper, J. James B. Edelman, Deborah Black, R. John Brereton, Donald E. Ross, Paul G. Bannon, Michael K. Wilson, Michael P. Vallely Tags: Original Articles Source Type: research

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