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Ann Thorac Surg ; 66(1): 92-4, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9692445

ABSTRACT

BACKGROUND: Minimally invasive coronary artery bypass grafting has become an increasingly accepted therapy for selected patients with single-vessel coronary artery disease. Reported morbidity has focused on anastomotic problems, but the occurrence of serious wound complications after these procedures has not been well documented. METHODS: We reviewed our institutional experience with 35 patients to look for the incidence of serious wound complications. RESULTS: Three patients had serious wound problems after minithoracotomy for coronary artery bypass graft procedures. This represents an overall 9% wound morbidity rate and a 100% rate in the obese women. CONCLUSIONS: Wound complications at the incision site after minithoracotomy coronary artery bypass graft procedures seem to occur distinctly in obese women with redundant breasts.


Subject(s)
Coronary Artery Bypass/adverse effects , Surgical Wound Infection/etiology , Adult , Aged , Anastomosis, Surgical/adverse effects , Breast Diseases/complications , Coronary Disease/pathology , Coronary Disease/surgery , Endoscopy/adverse effects , Escherichia coli Infections , Female , Follow-Up Studies , Humans , Hypertension/complications , Incidence , Minimally Invasive Surgical Procedures , Myocardial Infarction/complications , Obesity/complications , Patient Selection , Staphylococcal Infections , Thoracic Arteries/transplantation , Thoracoscopy/adverse effects , Thoracotomy/adverse effects , Thoracotomy/methods
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