Hybrid Coronary Revascularization Using Limited Incisional Full Sternotomy Coronary Artery Bypass Surgery in Multivessel Disease: Early Results
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 106-110, 2014.
Article
in English
| WPRIM
| ID: wpr-49883
ABSTRACT
BACKGROUND:
There are several modalities of coronary artery revascularization for multivessel coronary artery disease. Hybrid coronary revascularization (HCR) with minimally invasive direct coronary artery bypass grafting was introduced for high-risk patients, and recently, many centers have been using it. Limited incisional full sternotomy coronary artery bypass (LIFCAB) involves left internal thoracic artery (LITA)-to-left anterior descending coronary artery (LAD) anastomosis through a sternotomy with a minimal skin incision; it could be considered another technique for minimally invasive LITA-to-LAD anastomosis. Our center has performed HCR using LIFCAB, and in this paper, we report our short-term results, obtained in the past 3 years.METHODS:
The medical records of 38 patients from May 2010 to June 2013 were analyzed retrospectively. The observation period after HCR was 1 to 37 months (average, 18.3+/-10.3 months). The patency of revascularization was confirmed with postoperative coronary angio-computerized tomography or coronary angiography.RESULTS:
There were 3 superficial wound complications, but no mortalities. All the LITA-to-LAD anastomoses were patent in the immediate postoperative and follow-up studies, but stenosis was detected in 3 cases of percutaneous coronary intervention.CONCLUSION:
HCR using LIFCAB is safe and yields satisfactory results from the viewpoint of revascularization for multivessel disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Wounds and Injuries
/
Coronary Artery Disease
/
Medical Records
/
Coronary Artery Bypass
/
Retrospective Studies
/
Follow-Up Studies
/
Mortality
/
Coronary Angiography
/
Minimally Invasive Surgical Procedures
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2014
Type:
Article
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