Current Developments in Coronary Artery Bypass Grafting

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 31 August 2024 | Viewed by 1572

Special Issue Editor


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Guest Editor
West-German Heart and Vascular Center, Department of Thoracic and Cardiovascular Surgery, University of Duisburg Essen, 45122 Essen, Germany
Interests: acute coronary syndromes; cardiac biomarker research; ischemia/reperfusion injury research; cardio-protection and conditioning; coronary artery bypass grafting; minimal invasive valve surgery; aortic valve surgery; mitral and tricuspid valve repair; transcatheter and endovascular techniques; outcome research; beating heart surgery
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Special Issue Information

Dear Colleagues,

Myocardial revascularization of coronary artery disease (CAD) via either percutaneous coronary intervention (PCI) or coronary arterial bypass graft (CABG) surgery is the most commonly performed procedure in industrialized nations worldwide. In this context, the surgical approach of myocardial revascularization, i.e., CABG, is the most frequently performed cardiac operation, and its prognostic advantages have been clearly demonstrated. Despite an increasing risk profile and negative selection of CAD patients to be surgically treated, outcomes have consistently improved over the past few decades, whereas mortality and perioperative complications have significantly decreased.

These significant advances in the surgical treatment of CAD are due to the numerous strategic, technical, and surgical as well as perioperative improvements, and due to the tremendous generation of robust trial evidence of this surgical method. Continuous improvements and advances in surgical techniques in CABG surgery, be it off-pump or on-pump, the optimization of cardio-protective measures, stroke-preventive measures with targeted evaluation of the ascending aorta and aortic ‘no-touch’ techniques, the further developed and improved minimally invasive approaches, the adequate and individualized use of arterial and venous bypass grafts, medical treatment and/or surgical-adjuvant optimization, improvements in perioperative mechanical circulatory support measures, as well as significant progress in anesthesiology and perioperative intensive care management, and not least the systematic and unsparing processing of CABG outcomes through quality control are only a few key topics in this context, which in their entirety can help current and future CABG surgery to develop into a success story in cardiovascular medicine.

It is my pleasure and honor to invite worldwide experts in the field of coronary artery bypass graft surgery to join the scientific debate and participate with contributions of their current scientific work to be submitted to this Special Issue entitled ‘Current Developments in Coronary Artery Bypass Grafting’.

This is a conjunct Special Issue of JCM and Hearts. Authors are free to choose the journal they would like to submit to based on their submission topic.

Prof. Dr. Matthias Thielmann
Guest Editor

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Keywords

  • myocardial revascularization
  • cardiac surgery
  • coronary artery bypass grafting
  • off-pump/beating heart/on-pump surgery
  • cardio-protection
  • multi-arterial grafting
  • minimally invasive approaches
  • quality control

Published Papers (1 paper)

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Research

12 pages, 1832 KiB  
Article
The Feasibility and Early Results of Multivessel Minimally Invasive Coronary Artery Bypass Grafting for All Comers
by Ergun Demirsoy, Ilhan Mavioglu, Emre Dogan, Harun Gulmez, Ismet Dindar and Mustafa Kemal Erol
J. Clin. Med. 2023, 12(17), 5663; https://doi.org/10.3390/jcm12175663 - 31 Aug 2023
Viewed by 1289
Abstract
Objectives: Cardiovascular surgery advancements have emerged with various minimally invasive approaches for treating multivessel coronary disease to improve outcomes and minimize the burden associated with conventional cardiac surgery. We present our clinical experience and minimally invasive coronary bypass techniques through minithoracotomy, which we [...] Read more.
Objectives: Cardiovascular surgery advancements have emerged with various minimally invasive approaches for treating multivessel coronary disease to improve outcomes and minimize the burden associated with conventional cardiac surgery. We present our clinical experience and minimally invasive coronary bypass techniques through minithoracotomy, which we apply without selection to patients who have decided to have elective surgery for multivessel isolated coronary artery disease. Methods: It consists of 230 consecutive patients operated by the same team with this method between July 2020 and September 2022. The patients were assigned to one of the two methods preoperatively to their accompanying comorbidities and operated on either with blood cardioplegia via 5 to 7 cm left anterior minithoracotomy, with on-pump clamped technique or without pump via left anterolateral minithoracotomy. Results: Mortality was observed in two of our patients (0.9%), but myocardial infarction was not observed in our patients in the early postoperative period. None of our patients required conversion to sternotomy (0%). Five patients’ needed reoperation from the same incision due to postoperative bleeding (2.2%), and atrial fibrillation developed in 17 patients in the postoperative period (7.4%). The mean number of bypasses was found to be 3.0 ± 0.9. Conclusions: Minimally invasive coronary artery bypass surgery via minithoracotomy can be routinely reproduced safely. More long-term results and more multicenter studies are needed for more widespread acceptance of the technique. Full article
(This article belongs to the Special Issue Current Developments in Coronary Artery Bypass Grafting)
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