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Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso / Exclusive coronary revascularization with both mammary arteries: analysis of 73 patients
Seguel S, Enrique; Stockins L, Aleck; González L, Roberto; Vera-Calzaretta, Aldo; González-Burboa, Alexis; Hidalgo B, Alejandro.
  • Seguel S, Enrique; Universidad de Concepción. Facultad de Medicina. Departamento de Cirugía. Concepción. CL
  • Stockins L, Aleck; Universidad de Concepción. Facultad de Medicina. Departamento de Cirugía. Concepción. CL
  • González L, Roberto; Universidad de Concepción. Facultad de Medicina. Departamento de Cirugía. Concepción. CL
  • Vera-Calzaretta, Aldo; Universidad de Concepción. Facultad de Medicina. Departamento de Salud Pública. Concepción. CL
  • González-Burboa, Alexis; Universidad de Concepción. Facultad de Medicina. Departamento de Salud Pública. Concepción. CL
  • Hidalgo B, Alejandro; Universidad de Concepción. Facultad de Medicina. Departamento de Kinesiología. Concepción. CL
Rev. méd. Chile ; 147(6): 718-726, jun. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1020720
Responsible library: CL1.1
ABSTRACT

Background:

Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term.

Aim:

To describe the five-year evolution of a cohort of patients operated on with this technique. Material and

Methods:

Follow up analyzing survival of 73 patients aged 59 ± 9 years (82% men) who underwent exclusive coronary surgery with two mammary arteries between December 1,2010 and April 12,2017. We studied their clinical characteristics, surgical results, operative morbidity and mortality and adverse events up to June 30, 2018.

Results:

Six patients had two-vessel lesions and 67 three-vessel lesions. The operative risk calculated by additive and logistic EuroSCORE was 2.5 and 2.3%, respectively. A mean of 3.75 anastomoses /patient were performed, 116 with left mammary artery (73 to the anterior descending artery, 38 to a diagonal artery and 5 for other objectives) and 158 with right mammary artery (69 to a first marginal artery, 23 to a second marginal artery and 64 to posterior descending artery). There was one case of mediastinitis and one (1.5%) patient died. The mean follow-up was 64.6 ± 23.7 months. The 5-year survival was 90.4%.

Conclusions:

Coronary revascularization with two exclusive mammary arteries allowed a complete revascularization of the heart with a low rate of complications and adverse effects at five years.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Internal Mammary-Coronary Artery Anastomosis / Mammary Arteries Limits: Aged / Female / Humans / Male Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de Concepción/CL

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Full text: Available Index: LILACS (Americas) Main subject: Internal Mammary-Coronary Artery Anastomosis / Mammary Arteries Limits: Aged / Female / Humans / Male Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de Concepción/CL