Perioperative results of minimally invasive direct coronary artery bypass grafting for left anterior descending artery revascularization
- VernacularTitle:微创冠状动脉旁路移植术处理前降支病变的围术期结果
- Author:
Zhen ZHANG
1
,
2
;
Jian LIU
1
,
2
;
Qingshi ZENG
1
,
2
;
Bin XIE
1
,
2
;
Huiming GUO
1
,
2
Author Information
1. Department of Cardiac Surgery, Guangdong Provincial People'
2. s Hospital, Guangdong Provincial Academy of Medical Sciences, Guangdong Provincial Institute of Cardiovascular Diseases, Guangzhou, 510000, P.R.China
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
minimally invasive small incision;
anterior descending artery;
coronary artery disease;
surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(02):198-201
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the perioperative results and safety of minimally invasive direct coronary artery bypass grafting (MIDCAB) treatment of anterior descending artery disease through a small left thoracic incision assisted by thoracoscopy. Methods The clinical data of 92 patients who received MIDCAB in our hospital from May 2014 to October 2018 were retrospectively analyzed, including 72 (78.26%) males aged 42-78 (61.2±7.48) years, and 20 (21.74%) females aged 30-80 (61.30±12.26) years. The perioperative complications, blood product use, left heart function changes, ventilator use time, ICU stay, hospital stay and other indicators were analyzed. Results Two (2.17%) patients were transferred to thoracotomy, 5 (5.43%) patients received blood products during the operation, 2 (2.17%) were subjected to secondary thoracotomy to stop bleeding, 4 (4.34%) had postoperative hypoxemia and 1 (1.08%) was reintubated. The ventilator use time was 3-227 (22.35±35.39) hours, the ICU stay was 16-777 (78.85±108.62) hours, and the postoperative hospital stay was 2-36 (8.86±6.05) days. One (1.08%) patient died in hospital. Conclusion MIDCAB for anterior descending artery disease has good perioperative results, especially for solitary anterior descending artery disease, which can reduce the use of blood products, and shorten the time of ventilator use after operation, ICU stay and hospital stay.
