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https://hdl.handle.net/11499/8119
Title: | Surgical pitfalls of minimally invasive direct coronary artery bypass procedure from the viewpoint of a surgeon in the learning curve | Authors: | Emrecan, Bilgin Özdemir, A.C. |
Keywords: | Coronary artery disease Minimally invasive cardiac surgery hemoglobin troponin I adult article cerebrovascular accident clinical article coronary artery bypass graft coronary artery disease coronary artery obstruction female heart infarction hematocrit human learning curve left anterior descending coronary artery male minimally invasive surgery postoperative period preoperative evaluation retrospective study surgical error |
Abstract: | Introduction: Minimally invasive direct coronary artery bypass grafting (MIDCAB) offers arterial revascularization of the left anterior descending (LAD) coronary artery especially in lesions unsuitable for percutaneous coronary interventions. By avoidance of sternotomy and cardiopulmonary bypass its invasiveness is less than that of conventional bypass surgery. Aim: We in this study discuss our surgical experience in the MIDCAB procedure. Material and methods: Thirteen patients were operated on with the MIDCAB procedure. The inclusion criteria for MIDCAB were pure LAD disease totally occluded or severely stenotic. Patient demographics and preoperative and postoperative data were analyzed. Results: Mean age of the patients was 60.0 ±8.6 years. Patients' preoperative and postoperative levels of cardiac CK-MB (creatine kinase MB) were not significantly different (p = 0.993). However, cardiac troponin I (p < 0.001), hemoglobin (p < 0.001) and hematocrit (p < 0.001) were significantly different. No perioperative myocardial infarctions or cerebrovascular accidents were seen. The patients were discharged at a mean day of 4.77 with oral antiaggregant therapy. No mortality was seen in the study population. Conclusions: Minimally invasive direct coronary artery bypass is associated with few perioperative complications. Minimally invasive direct coronary artery bypass in our experience is a very good option for single vessel LAD disease. | URI: | https://hdl.handle.net/11499/8119 https://doi.org/10.5114/wiitm.2011.30945 |
ISSN: | 1895-4588 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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10.5114 wiitm.2011.30945.pdf | 208.03 kB | Adobe PDF | View/Open |
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