La cirugía de revascularización per toracotomía izquierda sin circulación extracorpórea, es una alternativa viable en la re-operación de puentes coronaries / Revascularization surgery through left off-pump thoracotomy is a viable alternative for coronary bypass re-operation
Arch. cardiol. Méx
;
78(3): 299-304, jul.-sept. 2008.
Artículo
en Español
| LILACS
| ID: lil-566658
ABSTRACT
Despite substantial advances in treatment, coronary atherosclerosis is a progressive disease, for this reason a second surgery is frequent. The left anterior small thoracotomy operation on a beating heart is an alternative with less morbidity and mortality than the conventional surgery. CASES REPORT We report two cases of coronary surgery with limited access. The first corresponds to a 72-year-old man with diabetes, hypertension, dyslipidemia, obesity, with myocardial damage and bypass surgery to anterior descendent coronary artery and first diagonal coronary artery with saphenous vein graft performed 13 years ago. Due to unstable angina and positive test for myocardial ischemia, we performed bypass surgery of minimal access to the anterior descendent coronary artery and obtuse marginal coronary artery. The second case corresponds to a man with hypertension, diabetes, obesity, previous bypass surgery of two vessels performed 4 years ago, complicated with perioperative inferior myocardial infarction. Due to unstable angina and positive test for myocardial viability, we performed a re-do coronary artery bypass graft surgery to the left anterior descending artery and first diagonal coronary arteries through a minimal access incision. In both the clinical evolution was satisfactory, they were discharged 7 days after surgery and remain asymptomatic at one year of follow-up. CONCLUSION:
The antero-lateral thoracotomy off-pump coronary bypass surgery is an alternative indicated in high risk patient with coronary revascularization.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Enfermedad de la Arteria Coronaria
/
Toracotomía
/
Revascularización Miocárdica
Límite:
Anciano
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Arch. cardiol. Méx
Asunto de la revista:
Cardiología
Año:
2008
Tipo del documento:
Artículo
País de afiliación:
México
Institución/País de afiliación:
IMSS/MX
Similares
MEDLINE
...
LILACS
LIS