International Scientific Surgical Association
Первая международная дистанционная
научно-практическая конференция
"Новые технологии в медицине - 2004"
H.Hirose1, A.Amano2, A.Takahashi3
MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS VIA MINI LEFT THORACOTOMY
1
Department of Cardiovascular Surgery, Juntendo University Hospital,
Tokyo, Japan
Currently, Department of Thoracic and Cardiovascular Surgery
The Cleveland Clinic Foundation, Cleveland, OH.
2
Department of Cardiovascular Surgery Juntendo University Hospital, Tokyo,
Japan
3
Department of Cardiovascular Surgery Cardiovascular Institute Hospital,
Tokyo, Japan
Abstract :
Background: Minimally invasive direct coronary artery bypass (MIDCAB) via a mini left thoracomy incision has been performed for revascularization of the left anterior descending artery with the left internal mammary artery. In this study, we analyzed the patients outcomes in those who underwent MIDCAB.
Methods: Between June 1997 and July 2002, a total of 125 patients (96males and 26 females, mean age of 65.1 9.6) underwent MIDCAB. Perioperative and follow-up data were entered into a structured database.
Results: The coronary anastomosis time was 17.0 5.0 minutes. The mean intubation period, ICU stay, and postoperative hospital stay were 4.0 2.8 hours, 1.3 0.8 days, and 9.7 4.6 days, respectively. There were no hospital deaths, postoperative heart failure, myocardial infarction, renal failure, prolonged ventilation (>2days) or stroke. During the follow-up of 3.3 1.5 years, 12 patients developed angina and there were 10 deaths. The actuarial 3-year survival rate was 92.6% and the event-free rate was 87.1%.
Conclusion: MIDCAB provide early recovery with minimum mortality and morbidity. The long-term results after MIDCAB are acceptable.
Hirose H., Amano A., Takahashi A. MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS VIA MINI LEFT THORACOTOMY // Новые технологии в медицине: Сб. докл. Первой международной дистанционной науч.-практ. конф., Санкт-Петербург, 15-30 марта 2004 г. СПб, 2004. С. 65
E-mail: genex@nifty.com
