Off-pump coronary artery bypass grafting (off-pump CABG: OPCAB) has become a standard procedure, but the indication for the @entity1 with severe @entity1187 ( @entity1187 ) has not been established. The purpose of this study is to evaluate the role of OPCAB for @entity1 with @entity583 ( @entity583 ) and impending @entity583 (IMI). Clinical indication of OPCAB for @entity1187 between November 1997 and December 2002, 14 @entity1 diagnosed @entity1187 out of 220 CABG cases underwent surgery. Twelve male and 2 female with a mean age of 66.3 +/- 7.5 were NYHA grade IV condition before surgery. Three of nine @entity583 cases and 4 of 5 IMI cases underwent OPCAB. Thirteen cases needed intra-aortic balloon pumping (IABP) support pre-operation, in 1 @entity583 and 2 IMI cases IABP had to be weaned during operation. The mean graft number was 2.6. Except one @entity583 case with severe @entity299 , 13 cases were discharged in NYHA grade I-II condition. CONCLUSION: In early onset cases with still rising CK-MB, operative risk and result is difficult to evaluate pre-operatively. Equal results could be seen in IMI cases with no previous @entity296 . We suggest, that in cases without severe @entity296 , OPCAB could be one alternative treatment.

[Off-pump coronary artery bypass grafting for severe XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['ACS', 'acute coronary syndrome'] @entity296 :: ('MESH:D009202', 'Disease') :: ['myocardial damage'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac damage'] @entity583 :: ('MESH:D009203', 'Disease') :: ['AMI', 'myocardial infarction', 'acute myocardial infarction']
@entity1187 :: (MESH:D054058,Disease) :: ['acute coronary syndrome']
