46 cases of off-pump CABG and plication of left ventricular aneurysm
- VernacularTitle:不停跳下冠状动脉旁路移植加左心室室壁瘤闭式成形术46例
- Author:
Rui LIU
;
Chengxiong GU
;
Hua WEI
- Publication Type:Journal Article
- Keywords:
Heart aneurysm/surgery Coronary artery bypass/methods
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2003;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the experience of OPCAB and plication of left ventricular aneurysm. Methods Without cardiopulmonary bypass, heparin was given at 1.0～1.5 mg/kg.The 2-0 Surgipro 843 sutures were placed across the base of aneurysm using a strip of teflon felt on either side. The suture line was oriented to reconstruct a relatively normal left ventricular contour. Concurrent CABG was performed. Results 46 cases were reviewed. Left internal mammary artery (LIMA) grafts to the LAD were performed in 39 cases, off-pump with cardiopulmonary bypass in 3, IABP were used in 2. One patient died of left ventricular dysfunction. The other patients had no new myocardial infarctions and were discharged 10 to 14 postoperative days. Conclusion OPCAB and plication of left ventricular aneurysm could obviously decrease the risk of cardiac rupture and avoid the complications of cardiopulmonary bypass.
