Document Detail

Hybrid coronary revascularization in high-risk patients.
MedLine Citation:
PMID:  17215970     Owner:  NLM     Status:  MEDLINE    
From January 2002 through June 2004, 17 patients (2% of all coronary cases) were treated with off-pump coronary artery bypass grafting combined with percutaneous coronary intervention. There were 13 men and 4 women, whose ages ranged from 54 to 78 years (mean, 63.1 +/- 20.9 yr). Preoperative angiography revealed 2-vessel coronary artery disease in 12 patients and 3-vessel disease in the remaining 5 patients. In all patients, extensive lesions (>50%) in the circumflex and right coronary arteries were treated first with a percutaneous intervention, followed by beating-heart coronary artery bypass grafting within 3 hours to treat the remaining obstructed vessels. Coronary angiography was performed 12 months after the operation to evaluate the effectiveness of the procedure. Procedure-related complications did not occur, and there was no in-hospital death. All patients underwent a successful left internal mammary artery-left anterior descending artery anastomosis with the exception of 1 patient, in whom we used a saphenous vein because of previous chest radiotherapy. The postoperative courses were uneventful, and no deterioration of preoperative organ dysfunction was noticed in any patient. There was no cardiac-related death or myocardial infarction. In follow-up angiography, all left internal mammary artery-left anterior descending artery anastomoses were patent. Three patients with restenosis were treated medically, which resulted in substantial reduction of angina. Hybrid coronary revascularization enables complete revascularization and may be an alternative method of treating selected patients who have concomitant disease.
Melih Hulusi Us; Murat Basaran; Mehmet Yilmaz; Bengi Yaymaci; Eralp Ulusoy; Soner Sanioglu; Cihan Ozbek; Yucesin Arslan; Sibel Pocan; Ahmet Turan Yilmaz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  33     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2006  
Date Detail:
Created Date:  2007-01-11     Completed Date:  2007-03-08     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  458-62     Citation Subset:  IM    
Department of Cardiovascular Surgery, GATA Haydarpasa Training Hospital, 81080 Istanbul, Turkey.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary* / adverse effects,  methods
Coronary Angiography
Coronary Artery Bypass* / adverse effects,  methods
Coronary Artery Disease / complications,  therapy*
Coronary Vessels / surgery
Follow-Up Studies
Middle Aged
Myocardial Infarction / etiology
Postoperative Complications
Risk Factors
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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