非体外循环下冠状动脉搭桥术的临床应用

Clinical application of the off-pump coronary artery bypass grafting procedure

目的 总结东莞市人民医院心胸外科 2 0 0 2年2月到 2 0 0 2年 8月期间所行 8例非体外循环冠状动脉搭桥术 (OPCAB)患者的临床资料 ,分析OPCAB手术的优点及疗效。方法 本组 8例患者 ,年龄 3 2～ 65岁 ,术前心功能Ⅱ～Ⅲ级 ,左室射血分数 49～ 58% ,所有患者均在非体外循环、心脏跳动状态下行冠状动脉搭桥术。结果 手术患者无一例死亡 ,术后心绞痛症状均消失 ,心功能得到不同程度改善。结论 非体外循环冠状动脉搭桥术是一种安全可行。

Objectives To summarize clinical data of 8 patients with off pump coronary ortery bypass grafting(OPCAB) procedure and analyze the benefit and curative effects of OPCAB procedure. Methods 8 patients in this group aged from 32 to 65 years old with cardiac function in class Ⅱ～Ⅲ (NYHA) and left ventricular ejection fraction (LVEF) 49～58%, and all of them underwent coronary artery bypass grafting (CABG) surgery without cardiopulmonary bypass. Results After operation, patients had no death and their cardiac function improved in various degree. Preoperative angina disappeared.Conclusions OPCAB procedure is a safe, available, effective method for coronary artery disease.