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Cirugía coronaria de mínimo acceso con circulación extracorpórea

Cirugía coronaria de mínimo acceso con circulación extracorpórea

Authors :
Jaime Mulet Meliá
José Luis Pomar Moya-Prats
Clemente Barriuso Vargas
Carlos Sureda Barbosa
Manuel Castellá Pericas
Ernesto Greco
Source :
Revista Española de Cardiología. 52:445-448
Publication Year :
1999
Publisher :
Elsevier BV, 1999.

Abstract

From October 1997 to March 1998 we operated on seven patients with minimal incision, cardiopulmonary by-pass with femoral cannulation and antegrade blood cardioplegic arrest using the "endoclamp" (Heartport Inc.). The seven patients with isolated severe lesions of the left anterior descending underwent a left internal thoracic artery graft under direct vision. Three had saphenous vein coronary bypass grafts performed to the diagonal (2) and obtuse marginal branches of the left coronary artery. The median cardiopulmonary bypass duration was 75 minutes (30-230) and the aortic occlusion time was 33 minutes (10-117). No major complications occurred and only two minor ones were noted. The median intensive care unit stay was 2 days (1 to 4) and the total hospital stay was 6.5 days (3 to 13). All the patients are in NYHA FC I, without treatment and a follow up of 3 to 6 months after the surgery. With this method of myocardial revascularization with minimal incision and cardiopulmonary bypass the sternotomy-related complications can be avoided, the intensive care unit and hospital stay can be reduced with better convalescence for the selected patients. We believe that this technique is a valid option for an increasing number of patients.

Details

ISSN :
03008932
Volume :
52
Database :
OpenAIRE
Journal :
Revista Española de Cardiología
Accession number :
edsair.doi...........5248e604d2343aa417cb4050e00b9f52
Full Text :
https://doi.org/10.1016/s0300-8932(99)74945-6