medigraphic.com
ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2018, Number 1

<< Back Next >>

Cir Gen 2018; 40 (1)

The practice of heart-beating coronary revascularization as a high-performance sport

Peñaloza-Guadarrama M

Language: Spanish
References: 16
Page: 43-45
PDF size: 221.35 Kb.


ABSTRACT

It is required to be a certified cardiac surgeon, perform traditional ischemic revascularization (with circulatory support) in a formal cardiac center, and a gradual and progressive incursion into heart-beating surgery, but why is the practice of this technique like high-performance sports? The high-performance athlete —as the surgeon— requires training and a lot of time of constant, systematic, and safe practice. You need to progress in different levels of evolutionary practice by objectives, as well as very high doses of intrinsic motivation, because you face detractors within the same working group (surgeons, anesthesiologists and cardiologists). Constant, persistent and systematic daily practice leads to mastery of the technique with different levels of ascending progression.


REFERENCES

  1. Weisse AB. Cardiac surgery, a century of progress. Tex Heart Inst J. 2011; 38: 486-490.

  2. Chassot PG, Van der Linden P, Zaugg M, Mueller XM, Spahn DR. Off-pump coronary artery bypass surgery: physiology and anaesthetic management. Br J Anaesth. 2004; 92: 400-413.

  3. Gerritsen WB, Van Boven WJ, Driessen AH, Haas FJ, Aarts LP. Off-pump versus on-pump coronary artery bypass grafting: oxidative stress and renal function. Eur J Cardiothorac Surg. 2001; 20: 923-929.

  4. Casati V, Gerli C, Franco A, Della VP, Benussi S, Alfieri O, et al. Activation of coagulation and fibrinolysis during coronary surgery: on-pump versus off-pump techniques. Anesthesiology. 2001; 95: 1103-1109.

  5. Sharony R, Bizekis CS, Kanchuger M, Galloway AC, Saunders PC, Applebaum R, et al. Off-pump coronary artery bypass grafting reduces mortality and stroke in patients with atheromatous aortas: a case control study. Circulation. 2003; 108: II15-20.

  6. Sánchez SR. El descubrimiento y popularización del bypass aortocoronario por René Favaloro a través de su concepción humanística. [Tesis Doctoral] Universidad Autónoma de Madrid. Universidad Autónoma de Madrid. 2015.

  7. Ercan A, Hasan KI, Gurbuz O, Kumtepe G, Onder T, Saba D. A comparison of off-pump and on-pump coronary bypass surgery in patients with low Euro SCORE. J Cardiothorac Surg. 2014; 9: 105.

  8. Stoney WS. Evolution of cardiopulmonary bypass. Circulation. 2009; 119: 2844-2853.

  9. Russia-Info Centre, Kizilova A. The surgeon, inventor of coronary artery bypass grafting. Available from: russia-ic.com/people/education_science/k/372/

  10. Hill JD. John H. Gibbon Jr. Part I. The development of the first successful heart-lung machine. Ann Thorac Surg. 1982; 34: 337-341.

  11. Demikov VP. Experimental transplantation of vital organs, translation from de Russian By Basil Haigh. New York Consultans Bureau 1962. Pp. 285, with 74.

  12. Kolessov VI. Mammary artery-coronary anastomosis as a method of treatment for angina pectoris. J. Thorac Cardiovasc Surg. 1967; 54: 535-544.

  13. Sabinston DC Jr. Direct surgical management of congenital and acquired lesions of coronary artery. Prog Cardiovasc Dis. 1963; 6: 299-316.

  14. Halkos ME, Puskas JD. Teaching off-coronary artery bypass surgery. Semin Thorac Cardiovasc Surg. 2009; 21: 224-228.

  15. Garret HE, Dennis EW, DeBakey ME, Aortocoronary bypass with saphenous vein graft: seven years follow-up. JAMA. 1973; 223: 792-794.

  16. Luke B. Mental skill training for sports. The Online Journal of Sport Psychology. 2004; 6: 1-19.




2020     |     www.medigraphic.com