Mini OPCAB Mammary to Left Anterior DescendingArtery Ideal Option for Hybrid Coronary Revascularization

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Mini OPCAB Mammary to Left Anterior DescendingArtery Ideal Option for Hybrid Coronary Revascularization

September 28, 2020 Medical Science 0

Introduction: Here we will explain the actual surgical procedure for the bypass of the left mammary artery to the left anterior descending artery, and the outcomes of this operation over the last 20 years at the Benetti Foundation. Materials and Methods: Inclusion criteria for this procedure were patients with demonstrated predominant ischemia Hybrid Revascularization was performed in 70 patients in the Benetti Base of this category 10. Surgical procedure The left mammary artery is dissected about 8 cm after the lower part of the sternum is opened. The pericardium is open and the mammary is attached to the descending anterior left side. Results: In this sequence, operative mortality was 0 percent. One patient was converted to an Off Pump sternotomy (1, 4%). None of the grafts were modified with the Medistim Method after the measure. In the procedure room, 55 (79 percent) is extubated. The total hospitalisation time was 60 hours (D + 17 ci ci ci ci). In the initial experience of 100 percent patency, 16 patients of Lima to LAD were re-studied In the 10 patients undergoing hybrid revascularization, mortality was 0 percent and MACE at 3 years or percent, 82 percent of patients were alive and 68 percent asymptomatic at 144 months. Conclusion: To find the definitive indications of this procedure, it is necessary to have more clinical experience; and to be able to standardise this operation in definitive form, better technologies are needed.

Author (s) Details

Federico Benetti,
Benetti Foundation, Alem 1846, Rosario, Argentina.

Natalia Scialacomo
Benetti Foundation, Alem 1846, Rosario, Argentina.

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