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Ann Thorac Surg 2005;79:345-346
© 2005 The Society of Thoracic Surgeons

Case report

Same Day Discharge Following Multivessel Off-Pump Coronary Artery Bypass Via Sternotomy

J.W. Randolph Bolton, MDa,*

a Carolina Heart Institute, Greenwood, South Carolina, USA

Accepted for publication August 19, 2003.

* Address reprint requests to Dr Bolton, Carolina Heart Institute, 303 W Alexander Ave, Suite E, PO Box 3284, Greenwood, SC 29648, USA
rbolton{at}carolinaheartinstitute.com

In 1993 coronary artery bypass surgery resulted in a mean postoperative length of stay of about 8.5 days. With changing reimbursements and fast tract protocols this was decreased to about 7.0 days by 2002. However, with the use of new techniques it is possible to perform reliable and reproducible coronary artery bypass without the use of cardiopulmonary bypass. This has resulted in the ability to further decrease postoperative lengths of stay. Presented here is a case report regarding how an aggressive perioperative regimen can result in same day discharge following multivessel off-pump coronary artery bypass.




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