Document Detail


Off pump coronary surgery in Argentina.
MedLine Citation:
PMID:  12652434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Benetti and Buffolo repopularized off pump surgery (OPCAB), developing the technique and using it in all arteries of the heart with veins and arteries in the different clinical situations inclusive in patients with acute myocardial infarction. Despite my personal experience with more than 2500 cases of off pump conducted in my country and different places of the world during the teaching and education process. In 1997, we started a new approach (xiphoid) to perform the ambulatory off pump surgery (ie, discharging the patient after 24 hours of the operation). Between October 1997 and December 2001, 78 patients were operated on through the xiphoid (lower sternotomy approach). The mean age of the patients was 64.2 years (range 45-78), there were 70% males, and all were class 3-4 according to the Canadian Association. The mortality of the 78 patients was 1% (1 patient), conversion to complete sternotomy was 1% (1 patient), and perioperative infarction was 1% (1 patient). From the 16 patients restudied immediately the patency rate was 100% G A anastomosis. Six patients from this group were discharged during the next 24 hours after the operation. The mortality was 0% and perioperative infarction 0%. With the xiphoid (lower sternotomy approach) we had good initial experience in discharging the patients during the first day. Using the technology that already exists, it is possible to perform multiple arterial grafts with this approach and in the future expand the concept of ambulatory coronary surgery in multiple vessels.
Authors:
Federico Benetti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery     Volume:  14     ISSN:  1043-0679     ISO Abbreviation:  Semin. Thorac. Cardiovasc. Surg.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2003-03-24     Completed Date:  2003-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8917640     Medline TA:  Semin Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  328-33     Citation Subset:  IM    
Copyright Information:
Copyright 2002, Elsevier Science (USA). All rights reserved.
Affiliation:
Benetti Foundation, Buenos Aires, Argentina.
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MeSH Terms
Descriptor/Qualifier:
Aged
Ambulatory Surgical Procedures / methods
Argentina
Coronary Angiography
Coronary Artery Bypass / methods*,  mortality
Coronary Disease / mortality,  radiography,  surgery*
Female
Humans
Intra-Aortic Balloon Pumping
Male
Middle Aged
Prognosis
Retrospective Studies
Risk Assessment
Surgical Procedures, Minimally Invasive / methods,  mortality
Survival Rate
Thoracotomy / methods
Treatment Outcome

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


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