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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2017, Number 3

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Cir Card Mex 2017; 2 (3)

Revascularización arterial total combinando arteria mamaria interna izquierda y las arterias radial izquierda y derecha

Heredia-Pérez Y, Cruz-Ramírez J, Vásquez-Reyes M, Suriel-Abreu MJ, Almonte-Casado M, Rodríguez-Polanco H

Language: Spanish
References: 20
Page: 76-79
PDF size: 154.69 Kb.


ABSTRACT

Objective. Evaluate the short-term results of aorta-coronary revascularization surgery by combining the right and left radial arteries and other hemoducts in the period August 2014-January 2017.
Materials and Methods. A descriptive, retrospective cut-off study of a secondary source from the records of the health center was carried out. Seventy consecutive cases undergoing coronary artery bypass grafting received both radial arteries and the left internal mammary artery to perform total arterial revascularization were analyzed.
Results. Emergency cases represent 30.00% of the procedures. In conjunction with aorta-coronary revascularization, other procedures were performed, such as coronary endarterectomy and valvular change, representing 27.14% and 2.86%, respectively. The mean time of extracorporeal circulation and aortic clamping was 133.77 and 81.84 minutes, respectively. The bridge-patient index is 3. The anastomosis sites were used in different modalities according to the case. Seven patients were reintervented for complications after surgery. The most frequent comorbidities were hypertension and diabetes mellitus
Conclusions. It is possible to perform a revascularization with total arterial hemoducts using double radial without damage to the upper limbs using a good evaluation with the Allen test.


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