نتايج عمل جراحي قلب بدون باي پس قلبي و ريوي در مشهد سال 81-1379

850 Off-Pump Cabg

According to disadvantages and complications of cardiopulmonary bypass (CPB), cardiothoracic surgeons in world- wide have become interested in off-pump CABG. Generally, coronary artery surgery accomplished in two Method, first routine method, in which CABG is performed with the help of CPB (PUMP MACHINE). In this method, the field of the operation is motionless and free of blood, however the complications of the CPB are still present. Second off- pump method that surgery is performed without using CPB. In this method, the heart is beating during operation, and normal activities of heart and lung are maintained, this method devoid of the disadvantages of the previous one. The first CABG surgery was done on a beating heart in 1960. In Iran cardiac surgery has commenced since 40 years ago, and is developing rapidly, but about operations with off-pump method and results, there is no documented, study. Off-pump CABG not only avoids of disadvantages of CPB but also has economic benefits. The goal of our study was to investigation the results (Ghaem, Javad-al-aemeh, Mosa-ebne-jafar Hospitals) in Mashhad, so that it can be a useful guide for future cardio-thoracic surgeons.