medigraphic.com
SPANISH

Revista Mexicana de Cardiología

ISSN 0188-2198 (Print)
En 2019, la Revista Mexicana de Cardiología cambió a Cardiovascular and Metabolic Science

Ver Cardiovascular and Metabolic Science


  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2000, Number 4

<< Back Next >>

Rev Mex Cardiol 2000; 11 (4)

Coronary bypass operations without cardiopulmonary bypass at

Humberto Martínez, Moisés Calderón, César Villaseñor, Salvador Ocampo, Luis Lepe, Arturo Jaquez, Víctor Lozano
Full text How to cite this article

Language: Spanish
References: 19
Page: 297-300
PDF size: 89.18 Kb.


Key words:

Coronary artery bypass surgery, cardiopulmonary bypass, cardiac surgery.

ABSTRACT

Objective: To report our initial experience in the operation of coronary artery bypass grafting without cardiopulmonary bypass on a beating heart. Material and methods: The first 20 coronary artery bypass grafting without cardiopulmonary bypass operations performed between August 1994 and December 1997 were analyzed by distribution of the following variables: age, sex, intensive care unit length of stay, postoperative hospital length of stay, perioperative complications and mortality. Results: 85% were male and 15% female. The mean age was 54.45 ± 10.17. The Intensive Care Unit length of stay remained between 1 and 4 days with an average of 2 (± of 0.79). The average postoperative hospital length of stay was 4.98 ± 2.08 days. Early unfavorable outcome events included: postoperative bleeding 10%, myocardial infarct 5% and surgical wound infection 10%. The perioperative mortality rate for the entire group was 0%. Conclusions: It is our belief that in selected cases coronary artery bypass grafting without cardiopulmonary bypass is a safe procedure with the advantage of improvement in recovery during the postoperative period, and show dramatic impact in terms of shorter hospital stays.


REFERENCES

  1. Sones FM Jr, Shirey EK. Cine coronary arteriography. Mod Concepts Cardiovasc Dis 1962; 31: 735.

  2. Koselov VI, Patashov LV. Operations on the coronary arteries. Exp Chir Anaesth 1965; 54: 535.

  3. Favaloro RG. Saphenous vein graft in the surgical treatment of coronary artery disease: Operative technique. J Thorac Cardiovasc Surg 1969; 58: 178.

  4. Hurst WJ. The Heart. USA, McGraw-Hill-Interamericana 1990: 924-30.

  5. Vineberg A, Buller W. Technical factors which favor mammary-coronary anastomoses. J Thorac Surg 1955; 30: 411-35.

  6. Cueto J. Cirugía laparoscópica. México, McGraw-Hill-Interamericana 1997: 9-12.

  7. Medina HA, Calderón M. Cirugía de revascularización al sistema coronario izquierdo sin derivación cardiopulmonar, experiencia en el Hospital General Centro Médico La Raza. Tesis. México D.F. Fac Med UNAM 1997: 8-10.

  8. Villaseñor C, Fenig J, García F. Cirugía de vías biliares mediante laparoscopia. Tesis. México DF. Fac Med UNAM 1996: 64.

  9. Hemery. Techniques for minimally invasive direct coronay artery bypass (MIDCAB) surgery. Philadelphia, Hanley and Belfus 1997: 167-77.

  10. Ankeney JL. To use or not to use de pump oxigenator in coronary bypass operations. Ann Thorac Surgery 1975; 19: 108-9.

  11. Cosgrove DM, Sabik JF, Navia J. Minimally invasive approach for aortic valvular operations. Ann Thorac Surg 1996; 62: 596-7.

  12. Carpentier A, Laoulment D et al. First open heart operation (Mitral Valvuloplasty) under videosurgery through a minithoracotomy. Paris, Academic of Sciences 1996: 219-23.

  13. Gu YJ, Maariani MA, van Oeveren W et al. Reduction of the inflammatory response in patients undergoing minimally invasive coronary artery bypass grafting. Ann Thorac Surg 1998; 65(2): 420-4.

  14. Isis I, Daglar B, Kirali K et al. Coronary bypass grafting via minithoracotomy on the beating heart. Ann Thorac Surg 1997; 62(Suppl): 257-60.

  15. Pfister AJ, Zaki MS, Garcia JM et al. Coronary artery bypass without cardiopulmonary bypass. Ann Thorac Syurg 1992; 54(6): 1085-91.

  16. Favaloro RG et al. Current status of coronary artery bypass graft (CABG) surgery. Semin Thorac Cardiovasc Surg 1994; 6: 67-71.

  17. Benetti FJ, Naselli G, Wood M, Geffner L. Direct myocardial revascularization without extracorporeal circulation. Experience in 700 patients. Chest 1991; 100: 312-336.

  18. Ott RA, Gutfinger DE, Miller MP et al. Coronary artery bypass grafting “on pump”: role of three day discharge. Ann Thorac Surg 1997; 64(2): 478-81.

  19. Subramanian VA, Sani G, Benetti FJ, Calafiore AM. Minimally invasive direct coronary bypass surgery: A multi-center report of preliminary clinical experience. Circulation 1995; 92(Suppl 8): 1-645.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Cardiol. 2000;11