Two cases of minimally invasive reoperative coronary artery bypass

被引：0
作者：
Oda T. [1 ]
Nojima T. [1 ]
Ono H. [1 ]
机构：
[1] Department of Cardiovascular Surgery, Hamamatsu Rosai Hospital, Shizuoka
来源：
The Japanese Journal of Thoracic and Cardiovascular Surgery | 1998年 / 46卷 / 10期
关键词：
Coronary Artery Bypass Grafting; Cardiopulmonary Bypass; Vein Graft; Recurrent Angina; Left Internal Thoracic Artery;
D O I：
10.1007/BF03217873
中图分类号：
学科分类号：
摘要：
Reoperative coronary artery bypass grafting (CABG) are still associated with higher mortality than primary CABG. This is due in part to the potential for cardiac and patent graft injury during their dissection and the reopening of the sternum. Therefore, in two patients with recurrent angina attributable to occlusion of the old vein graft to the LAD, we performed reoperative CABG by the minimally invasive direct coronary artery bypass (MIDCAB) procedures. The left internal thoracic artery was anastomosed to the LAD through small anterolateral thoracotomy without cardiopulmonary bypass. Both patients recovered fast and underwent postoperative angiogram, showing the new grafts widely patent. About two weeks later, both discharged in the conditions of nearly normal activities. The reoperative MIDCAB grafting might be expected to be as safe and promising as the primary one.
引用
收藏
页码：1052 / 1056
页数：4
相关论文
共 62 条
  • [1] Edwards FH(1994)Coronary artery bypass grafting. The society of thoracic surgeons national database experience Ann Thorac Surg 57 12-19
  • [2] Clark RE(1993)Is coronary reoperation without the pump an advantage? Ann Thorac Surg 55 329-329
  • [3] Schwartz M(1993)Reoperative coronary artery bypass grafting without cardiopulmonary bypass Ann Thorac Surg 55 486-489
  • [4] Cosgrove DM(1995)Coronary artery reoperation through the left thoracotomy with hypothermic circulatory arrest Ann Thorac Surg 60 1063-1066
  • [5] Fanning WJ(1995)Coronary artery bypass without cardiopulmonary bypass. Analysis of short-term and mid-term outcome in 220 patients J Thorac Cradiovasc Surg 110 979-987
  • [6] Kakos GS(1996)Videoassisted minimally invasive coronary operations without cardiopulmonary bypass. A multicenter study J Thorac Cardiovasc Surg 112 1478-1484
  • [7] Williams TE(1996)Left anterior descending coronary artery grafting via left anterior small thoracotomy without cardiopulmonary bypass Ann Thorac Surg 61 1658-1665
  • [8] Suma H(1996)Coronary reoperation via small laparotomy using right gastroepiploic artery without CPB Ann Thorac Surg 61 1853-1855
  • [9] Kigawa I(1997)Reoperative coronary bypass grafting without cardiopulmonary bypass through a small thoracotomy Ann Thorac Surg 63 405-407
  • [10] Horii T(1997)Minimally invasive versus conventional reoperative coronary artery bypass Am Thorac Surg 64 616-622
1234567