Research Information System
HEART SURGERY FORUM, vol.27, no.3, pp.271-281, 2024 (SCI-Expanded, Scopus)
Background: The objective of our study was to provide the
initial outcomes of the traditional coronary artery surgery
approach and the on-pump beating heart surgery in terms
of survival and morbidity in patients who needed emergency
surgery for acute myocardial infarction. Methods:
A single-center retrospective study was performed from
November 2013 to September 2023 on a total of 212 patients
requiring emergency coronary artery surgery. Group
I patients (n = 108) received traditional coronary artery
bypass grafting with cross-clamping, while Group II patients
(n = 104) underwent on-pump coronary surgery on
the beating heart. Results: There were no disparities observed
in the preoperative left ventricular function, percutaneous
coronary intervention, intra-aortic balloon usage, or
clinical-hemodynamic characteristics. Group I patients had
significantly higher rates of postoperative mortality and low
cardiac output syndrome, as well as a greater utilization of
intra-aortic balloons and a higher requirement for extracorporeal
membrane oxygenation (p < 0.001). Conclusions:
Ultimately, the on-pump beating heart approach could serve
as a viable alternative to enhance the preservation of cardiac
function and decrease postoperative complications and
mortality rates in patients with acute myocardial infarction
who require emergency surgery.