Off pump coronary artery bypass in patients with an ejection fraction of <20%. What is our strategy?

Michael Magarakis; Daniel H Buitrago; Alejandro E Macias; Bryon A Tompkins; Tomas A Salerno

doi:10.1111/jocs.15330

Off pump coronary artery bypass in patients with an ejection fraction of <20%. What is our strategy?

J Card Surg. 2021 Mar;36(3):1067-1071. doi: 10.1111/jocs.15330. Epub 2021 Jan 21.

Authors

Michael Magarakis¹, Daniel H Buitrago¹, Alejandro E Macias², Bryon A Tompkins², Tomas A Salerno¹

Affiliations

¹ Department of Surgery, Division of Cardiothoracic Surgery, Cardiac Surgery Section, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA.
² Department of Surgery, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA.

PMID: 33476419
DOI: 10.1111/jocs.15330

Abstract

Patients with left ventricular dysfunction and low ejection fraction (EF) are at high risk of complication and mortality after coronary artery bypass grafting (CABG). The potential success of off-pump CABG in this high-risk population has yet to be illustrated. Herein, we present our experience in regards to surgical planning and strategy on how to perform off-pump CABG in patients with very low EF.

Keywords: coronary artery disease; low EF; off pump CABG.

Publication types

Review

MeSH terms

Coronary Artery Bypass
Coronary Artery Bypass, Off-Pump*
Humans
Risk Factors
Stroke Volume
Treatment Outcome
Ventricular Dysfunction, Left*