Mini-invasive multi-vessel coronary grafting through left anterior thoracotomy
Journal Title: Серце і судини - Year 2018, Vol 0, Issue 1
Abstract
The aim — to describe personal experience of mini-invasive multi-vessel coronary grafting through left anterior mini-thoracotomy with the application of artificial blood-circulation and hyperkalemic blood cardioplegia; to assess the results of surgery in the first group patients. Materials and methods. The method was performed for 29 patients. All patients underwent complete myocardium revascularization with 2 — 5 grafts (3.37 ± 0.82 per patient). Left internal mammary artery was used in all patients, right internal mammary artery — in 4 patients, radial artery — in 5 patients, vein grafts — in 23 patients. Complete arterial revascularization was performed in 6 patients. Results and discussion. We had no fatal outcomes. Mean aortic cross-clamp time was 75.8 ± 21 min (range 48 — 146 min). Mean cardiopulmonary bypass time was 145.5 ± 38.37 min (range 103 — 296 min). Total surgery duration was 180 — 495 min. (mean 287.4 ± 61.7). Postoperatively, total drainage in the first 12 hours was 456.55 ± 214.39 ml, the post surgery grafts were left for 48 hours. Ventilation time was 7.6 ± 15.6 hours, ICU stay was 2.58 ± 1.21 days. Conclusions. Mini-invasive coronary bypass grafting is effective and safe surgical method for miocardium revascularization. Complete revascularization could be performed regardless the number of grafts, left ventricle ejection fraction, quality and size of coronary vessels, age of patient.
Authors and Affiliations
O. D. Babliak, V. M. Demianenko, E. A. Melnyk, K. A. Revenko, L. V. Pidhayna, O. S. Stohov
Keywords
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