RESUMO
Two patients underwent combined heart and lung surgery performed through a limited left anterior thoracotomy. Good exposure of the left pulmonary hilum and the left anterior descending artery was obtained, allowing left upper lobectomy combined with off-pump coronary bypass grafting. This approach avoids potential complications due to sternotomy, staged operations, and cardiopulmonary bypass. These cases show that a limited thoracotomy allows safe and effective combined lung and cardiac surgery in carefully selected patients.
Assuntos
Adenocarcinoma/cirurgia , Carcinoma de Células Escamosas/cirurgia , Ponte de Artéria Coronária sem Circulação Extracorpórea , Estenose Coronária/cirurgia , Neoplasias Pulmonares/cirurgia , Pneumonectomia , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos , Resultado do TratamentoRESUMO
Stabilization and exposure of coronary vessels in off-pump bypass grafting is achieved by means of different and expensive mechanical stabilizers. We describe a new technique of stabilization and exposure of target vessels by using only a 'double suspension-stabilization stitch' without the support of mechanical stabilizers. In accomplishing left anterior descending and right coronary artery off-pump bypass grafting, this technique has resulted in a good hemodynamic stability, in no epicardial damage and surgical trauma, and finally it represents a costless procedure.
RESUMO
We describe a new off-pump coronary bypass technique, the "double suspension-stabilization stitch", performed without the support of mechanical stabilizers. This technique is very cheap and yields good hemodynamic stability, with no epicardial damage.
