Coronary artery bypass grafting without cardiopulmonary bypass through sternotomy and minimally invasive procedure

Coronary artery bypass grafting without cardiopulmonary bypass through sternotomy and minimally invasive procedure

Autor Buffolo, E. Google Scholar
Gerola, L. R. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Coronary artery bypass grafting without cardiopulmonary bypass (CPB) is now an accepted technique of myocardial revascularization in a special subset of patients, This paper presents our total experience in 1761 cases operated on since September 1981 until April 1997 out of a total of 9164 patients revascularized with the conventional technique during this period of time. Among the 1761 patients, 53 (3%) were operated on by minimally invasive surgery. the overall applicability was 19.2% and the most common grafted arteries were left anterior descending artery (LAD), right coronary artery (RCA), and diagonal. Results indicate that the operation can be performed with an acceptable mortality (2.3%) and that all types of arterial conduits can be used. the incidence of major postoperative complications were significantly lower in this group of patients when compared with our patients receiving conventional myocardial revascularization. Most importantly there was decrease cost when the procedure was used because no extracorporeal circulation cardioplegia sets or other canulas were used. We conclude based on in this fifteen years experience that the technique of myocardial revascularization in a beating heart is justified, safe and can offer to selected patients the best option of coronary insufficiency surgical treatment. (C) 1997 Elsevier Science ireland Ltd.
Palavra-chave myocardial revascularization
cardiopulmonary bypass
cardiac surgery
Idioma Inglês
Data de publicação 1997-12-01
Publicado em International Journal of Cardiology. Clare: Elsevier Sci Ireland Ltd, v. 62, p. S89-S93, 1997.
ISSN 0167-5273 (Sherpa/Romeo, fator de impacto)
Publicador Elsevier B.V.
Extensão S89-S93
Fonte http://dx.doi.org/10.1016/S0167-5273(97)00219-2
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000071587600016
Endereço permanente http://repositorio.unifesp.br/handle/11600/25820

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