Le pontage coronaire à cœur battant : à propos de 1080 patients

A consecutive cohort including 1080 patients undergoing "off-pump" myocardial revascularization was reviewed. An average of 2,22 bypass/patients was performed. The death-rate during the first 30 days after surgery was 0,65%. Four cases needed cross-over to on-pump. The postoperative events were: need of inotropic drugs (2,7%), atrial fibrillation (12,4%), myocardial infarction (6,6%). The extubation was performed before the first postoperative 24 h in 91,9% of cases. The majority of patients was discharged from hospital before 8 days after surgery. Off pump coronary artery bypass surgery exhibit good results for most of the patients even if they present multiple vessel disease and high operating risk.