SHORT TERM OUTCOME BETWEEN TWO GROUP OFF- PUMP AND ON PUMP CORONARY ARTERY BYPASS GRAFTING IN LEFT MAIN CORONARY ARTERY

Abu Jafar Md. Tareq Morshed*, Md. Zanzibul Tareq, Md. Aslam Hossain, Md. Rezwanul Hoque, Md. Samir Azam Sunny, Md. Amirul Islam, Md. Nasif Imtiaz, Debasish Das, Md. Nahedul Morshed and Nazrana Martuza

ABSTRACT

Introduction: Coronary artery bypass surgery both conventional method (Conventional Coronary Artery Bypass surgery-CCAB) and off-pump method (Off-pump Coronary Artery Bypass Surgery-OPCAB) are frequently performed operation especially in our Bangabandhu Sheikh Mujib Medical University Hospital (BSMMU), Dhaka, Bangladesh. Objective: To assess the short term outcome between Two Group off- pump and on pump coronary artery bypass grafting in left main coronary artery. Patients and Methods: This comparative cross-sectional study was carried out at the Department of Cardiac Surgery in Bangabandhu Sheikh Mujib Medical University Hospital (BSMMU), Dhaka, Bangladesh from March, 2017 to August, 2019. Study population the patients with ischemic heart disease with left main coronary artery disease who underwent off pump and on pump CABG in Bangabandhu Sheikh Mujib Medical University Hospital (BSMMU), Dhaka, Bangladesh. Non probability sampling technique. Total Sample Size number of selected patients was sixty. Thirty patients in each group. Results: Among 60 patient the mean age group I was 51.5± 7.3 and that of group II patient was 54.7± 6 years. This study was performed in Bangabandhu Sheikh Mujib Medical University Hospital (BSMMU), Dhaka, Bangladesh which included 60 patients of coronary artery disease with left main stem stenosis. In group I age range from 40 to 70 years with a mean ± SD of 51.5±7.3 years. The majority of the patients are in age group 45-50 years. In group II the age ranged from 40 to 70 years with a mean ±SD of 54.7±6 years, majority of the patients are in 51-55 years. The mean age difference was not statistically significant (p> 0.05) in unpaired t test. Conclusion: In our institution more than a decade has almost over since the start of OPCAB surgery with gradual success and integrity.

Keywords: CCAB, OPCAB, Risk factors.