Off Pump Coronary Artery Bypass in patients with severe LV dys-function.
Is it really more challenging?
CABG (Coronary Artery Bypass Grafting) has been the treatment of choice
for coronary artery disease for over 50 years and is the most common
cardiac surgery procedure performed. Traditionally CABG was performed
with the use of cardiopulmonary bypass and the use of cardioplegia to
allow the surgeon to operate on a stable field. In the mid-1990s,
interest emerged in performing CABG without the use of cardiopulmonary
bypass - off pump CABG. This invited commentary focuses on sharing our
experience with Low Ejection fraction off-pump CABG and why this
approach could be beneficial to this patient population.