Document Detail

Mammary coronary artery anastomosis without cardiopulmonary bypass through minithoracotomy: one year clinical experience.
MedLine Citation:
PMID:  9814789     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The recent concept of minimally invasive coronary artery surgery in selected patients has dramatically affected surgical management of coronary artery disease. We explored the possibility of coronary artery bypass grafting of anterior coronary arteries with in situ internal mammary artery through a limited anterior thoracotomy on beating heart. METHOD: Minithoracotomy and direct coronary artery surgery without cardiopulmonary bypass (CPB) was attempted in 116 patients. The procedure was completed in 108 cases while in eight cases minithoracotomy was converted to mid sternotomy. In 107 cases, left internal mammary artery (LIMA) to left anterior descending (LAD) coronary artery anastomosis was done through left anterior minithoracotomy and in one case LIMA to LAD and right internal mammary artery (RIMA) to right coronary artery (RCA) anastomosis was done through bilateral minithoracotomy. Left anterior minithoracotomy through 4th intercostal space and right anterior minithoracotomy through 5th intercostal space was used for left and right internal mammary artery dissection respectively. With this approach 4-8 cm length of mammary artery was easily dissected. Mammary coronary artery anastomosis were performed on a beating heart without CPB through window pericardiotomy. Two patients also underwent left carotid endarterectomy along with LIMA to LAD anastomosis. In two patients complementary percutaneous transluminal coronary angioplasty (PTCA) to circumflex artery was done 5 days after minithoracotomy and LIMA to LAD anastomosis. RESULTS: Forty-two patients were extubated in the operating room and 66 in the intensive care unit 2-10 h after surgery. Blood transfusion was used in one case who was reexplored for postoperative bleeding due to a displaced hemoclip from the internal mammary artery branch. None of these patients required inotropic support. Postoperative predischarge check angiogram in 53 cases revealed adequate mammary coronary flow in 51 cases, the remaining two had anastomotic problems, one was subjected to PTCA and the other for redo coronary bypass grafting through mid sternotomy. Doppler flow assessment of anastomosis was done in 102 cases, of which two showed problems which was confirmed on check angiography. One-hundred and six patients are in our regular follow-up (mean follow-up 10+/-1.5 months), 98 of them are in functional class I. CONCLUSION: In our experience mammary coronary artery anastomosis without CPB through minithoracotomy is a safe, simple and minimally invasive procedure. Favorable cost/benefit ratio, has been achieved due to no early/late mortality and minimal early morbidity. Postoperative check angiogram and Doppler flow study revealed excellent mid term results.
Y Mishra; Y Mehta; S Mittal; M Mairal; A Karlekar; A Seth; T S Kler; N Trehan
Related Documents :
19913769 - Impact of purely internal thoracic artery t-graft technique on the mode and quality of ...
3222769 - Left vocal cord paralysis after mobilisation of the internal mammary artery.
6602619 - Internal mammary artery versus saphenous vein graft. comparative performance in patient...
9033309 - Reoperative coronary bypass grafting without cardiopulmonary bypass through a small tho...
8682599 - The comparison of vascular reactivities of arterial and venous grafts to vasodilators: ...
17670279 - Chylothorax and re-expansion pulmonary edema following myocardial re-vascularization: r...
10653429 - Central retinal artery occlusion associated with head or neck pain revealing spontaneou...
22192549 - Insight into the periprocedural embolic events of internal carotid artery angioplasty. ...
22431769 - Absence of the right iliac vein and an unusual connection between both common femoral v...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  14 Suppl 1     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-19     Completed Date:  1999-01-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  S31-7     Citation Subset:  IM    
Escorts Heart Institute and Research Centre, New Delhi, India.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cardiopulmonary Bypass*
Endarterectomy, Carotid / methods
Follow-Up Studies
Internal Mammary-Coronary Artery Anastomosis / methods*,  statistics & numerical data
Middle Aged
Postoperative Complications / epidemiology
Sternum / surgery
Surgical Procedures, Minimally Invasive / methods,  statistics & numerical data
Thoracotomy / methods
Time Factors
Treatment Outcome

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

Previous Document:  MIDCAB characteristics and results: the CardioThoracic Systems (CTS) registry.
Next Document:  Coronary artery bypass grafting without cardiopulmonary bypass--initial experience of 50 cases.