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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.
Artículo en Inglés | 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.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Piel / Heridas y Lesiones / Enfermedad de la Arteria Coronaria / Registros Médicos / Puente de Arteria Coronaria / Estudios Retrospectivos / Estudios de Seguimiento / Mortalidad / Angiografía Coronaria / Procedimientos Quirúrgicos Mínimamente Invasivos Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2014 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Piel / Heridas y Lesiones / Enfermedad de la Arteria Coronaria / Registros Médicos / Puente de Arteria Coronaria / Estudios Retrospectivos / Estudios de Seguimiento / Mortalidad / Angiografía Coronaria / Procedimientos Quirúrgicos Mínimamente Invasivos Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2014 Tipo del documento: Artículo