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Heart Lung Circ. 2011 Nov;20(11):694-703. doi: 10.1016/j.hlc.2011.07.006. Epub 2011 Sep 8.

Off-pump coronary artery bypass grafting in elderly and high-risk patients--a review.

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Cardiothoracic Surgical Unit, RPA Medical Center, Royal Prince Alfred Hospital, 304/100 Carillon Ave, Newtown, Sydney, NSW 2042, Australia.


Elderly and high-risk patients are increasingly being considered for myocardial revascularisation. Most trials comparing the various options for revascularisation exclude elderly and 'high-risk' patients. We have reviewed the options for myocardial revascularisation for elderly patients, and for patients with a number of common 'high-risk' co-morbidities--diabetes mellitus, renal insufficiency, poor left ventricular ejection fraction, peripheral vascular disease, left main coronary artery disease and chronic obstructive pulmonary disease--with a focus on coronary artery bypass grafting without the use of cardiopulmonary bypass and aortic manipulation.

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