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Which place for Port Access surgery in coronary artery bypass grafting? A mid-term follow up study.
MedLine Citation:
PMID:  17670517     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Between May 1997 and November 2002, 68 patients with one or two-vessel disease (55+/-9 years) underwent Port Access CABG using the Heartport endoCPB. The LITA was used in 63 cases, the RITA in 14, a radial artery in 2 and a vein graft in 3. Mean distal anastomoses was 1.3+/-0.5. Cross clamping, CPB, and operative times were 42+/-20 min, 64+/-27 min, and 3.8+/-1.5 h. Postoperative ventilation was 11+/-17 h, and ICU stay was 1.9+/-2.6 days. At day-1, troponin level was 2.3+/-2.9 UI and blood loss was 398+/-240 ml. Two patients needed long intubation and two had pleural re-drainage. One patient had a stroke, one had a myocardial infarction, and one underwent revision for bleeding. Hospital stay was 7+/-3 days. 65% were discharged to home. Follow up was completed in all cases (4.1+/-1.8 years). CCS score was significantly reduced (from 3.1+/-0.3 to 1.1+/-0.3, P<0.0001). Two patients had PTCA and stenting of non-grafted arteries. Five other patients had recurrent angina. Angiograms showed patent grafts in all cases. Two patients died after 19 months and 5 years from non cardiac reasons. In conclusion, Port Access CABG remains a safe technique with stable results at mid-term follow up.
Authors:
Fadi Farhat; Mathieu Vergnat; Pascale Blanc; Pascal Chiari; Olivier Jegaden
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Publication Detail:
Type:  Journal Article     Date:  2005-11-30
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  5     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2007-08-02     Completed Date:  2007-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  71-4     Citation Subset:  -    
Affiliation:
Department of Cardiovascular Surgery (Pr Jegaden), Hôpital Pradel, Université Claude Bernard, INSERM E0226, 28, avenue du doyen Lepine, 69677 Bron Cedex, France. fadi.farhat@chu-lyon.fr
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