Patient has coronary artery bypass surgery while awake
- By: Deborah Josefson
A 51 year old man has undergone a coronary artery bypass graft while awake, marking the first time in the United States that such surgery has been performed without general anaesthesia.
The operation took place at the Veterans Administration Hospital in Pittsburgh, Pennsylvania, and was led by Dr Marco Zenati, an assistant professor of surgery at the University of Pittsburgh Medical Center, with the help of anaesthesiologist Dr Juhan Paiste.
Dr Paiste used a combination of epidural anaesthesia, sedatives, and local anaesthesia to numb the chest wall and control pain. The patient, a professional magician, was alert and verbally interactive throughout the procedure.
Epidural anaesthesia was first used for a coronary artery bypass graft operation in 1998 by Dr Haldun Karagoz of Guven Hospital in Ankara, Turkey. To date, 31 patients have had such surgery under epidural control.
The technique of minimally invasive direct coronary artery bypass grafting was also