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Rev Bras Cir Cardiovasc · Oct 2013
ReviewOn-pump versus off-pump coronary artery bypass graft surgery: what do the evidence show?
- Alfredo José Rodrigues, Paulo Roberto Barbosa Evora, and Paulo Victor Alves Tubino.
- Rev Bras Cir Cardiovasc. 2013 Oct 1;28(4):531-7.
AbstractThe main purpose of the off-pump coronary artery bypass surgery is to reduce morbidity and mortality due cardiopulmonary bypass. However, even though many studies have shown that off-pump coronary artery bypass is feasible and provides hospital morbidity and mortality similar to the on-pump coronary artery bypass graft surgery, probably better in some aspects, its long-term results have been questioned, since some trials have shown reduced survival with off-pump coronary artery bypass. It is likely that incomplete revascularization and/or poor graft patency with off-pump coronary artery bypass probably are responsible for such unfavorable outcome.
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