Minimally invasive direct coronary artery bypass (MIDCAB): Surgical techniques and anesthetic considerations
| Autor: | James D. Fonger, Harry G. Greenspu, Ursula A. Adourian, John S. Fan |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
Coronary artery bypass surgery Internal medicine medicine Humans Anesthesia Derivation Myocardial infarction Coronary Artery Bypass Stroke Aged business.industry Middle Aged Nerve injury medicine.disease Surgery surgical procedures operative Anesthesiology and Pain Medicine medicine.anatomical_structure Respiratory failure Anesthetic Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business medicine.drug Artery |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 10:507-509 |
| ISSN: | 1053-0770 |
| DOI: | 10.1016/s1053-0770(05)80013-8 |
| Popis: | ONVENTIONAL coronary artery bypass grafting (CABG) surgery, although relatively safe, continues to suffer from a significant incidence of serious complications, including myocardial infarction, stroke, renal failure, aortic injury, respiratory failure, nerve injury, and coagulation abnormalities. ~.2 Some of these are directly associated with establishing cardlopulmonary bypass (CPB), including sternotomy, sternal retraction, systemac heparinization, cannulat~on, and aomc cross-clamping. Maintenance of CPB reduces a systemic inflammatory response with coagulation abnormalities, hemodllutlon, and potential risk of air- and microembolization. Consequently, techniques to perform coronary artery bypass surgery without CPB have been developed. 3,4 This report describes experiences with one such technique, minimally invaslve direct coronary artery bypass (MIDCAB). Two representative cases are described. |
| Databáze: | OpenAIRE |
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