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Ann Thorac Surg 2002;73:1436-1439
© 2002 The Society of Thoracic Surgeons

Original article: cardiovascular

Isolated myocardial revascularization with intermittent aortic cross-clamping: experience with 800 cases

Lucia Raco, MD*a, Edward Mills, MBBSa, Russell J.W. Millner, MD, FRCS (CTh)a

a Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool, United Kingdom

Accepted for publication January 21, 2002.

* Address reprint requests to Dr Raco, Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, Whinney Heys Rd, Blackpool, FY3 8NR, United Kingdom
e-mail: luciaduke{at}netscapeonline.co.uk

Background. We investigated the clinical outcome of elective and nonelective myocardial revascularization performed with intermittent aortic cross-clamping.

Methods. Prospective data on 800 consecutive patients (from May 1996 to July 2000), who underwent isolated myocardial revascularization with intermittent aortic cross-clamping, were analyzed. A subgroup analysis was performed on the elective (n = 520), urgent (n = 226), and emergency (n = 54) procedures.

Results. The elective group of patients had a mean age of 61.5 ± 9.46 years, mean Parsonnet score of 5.23 ± 5.1, and mean number of distal anastomoses of 3.22 ± 1.04. The hospital mortality was 0.57%. The urgent group of patients had a mean age of 63.06 ± 10.43 years, mean Parsonnet score of 6.73 ± 6.22, and mean number of distal anastomoses of 3.21 ± 1.04. The hospital mortality was 3.09%. The emergency group of patients had a mean age of 63.75 ± 9.63 years, mean Parsonnet score of 11.24 ± 11, and mean number of distal anastomoses of 2.87 ± 0.86. Hospital mortality was 5.55%. Postoperative hospital stay was 7.11 ± 5.47 days for the elective group, 7.59 ± 5.07 days for the urgent group, and 7.40 ± 4.01 days for the emergency group.

Conclusions. Intermittent aortic cross-clamping is a safe technique both in elective and nonelective patients. The mortality and morbidity in the three subgroups analyzed reflects patients’ distribution against Parsonnet score.


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Ann. Thorac. Surg. 73: 1439-1440. [Full Text]



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