Single-lung ventilation with contralateral lung deflation: a simplified method for multivessel off-pump coronary artery bypass grafting
| Autor: | Luís Alberto O, Dallan, Luiz Augusto F, Lisboa, Fernando, Platania, Sérgio A, Oliveira, Noedir A, Stolf |
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| Rok vydání: | 2007 |
| Předmět: |
Pleural Cavity
Sternum Ventilators Negative-Pressure Coronary Artery Bypass Off-Pump Mediastinum Reproducibility of Results Surgical Techniques Coronary Artery Disease Respiration Artificial Radial Artery Tissue and Organ Harvesting Feasibility Studies Humans Minimally Invasive Surgical Procedures Saphenous Vein Mammary Arteries |
| Zdroj: | Texas Heart Institute journal. 34(2) |
| ISSN: | 0730-2347 |
| Popis: | There are many new alternative methods of minimally invasive myocardial revascularization that can be applied in selected patients who have multivessel coronary artery disease. However, these techniques often require new and expensive equipment. Most multivessel myocardial revascularization is performed via median sternotomy and involves the use of a conventional endotracheal tube. Both lungs are ventilated, and frequently the left pleural cavity is opened. In contrast, single-lung deflation naturally moves the mediastinum within the thorax toward the collapsed lung, without the need to open the pleural cavities. Herein, we describe a simple alternative procedure that facilitates off-pump multivessel coronary artery bypass grafting via complete median sternotomy: single-lung ventilation with contralateral lung deflation. This technique better exposes the more distal right and circumflex coronary artery branches with or without the opening of the pleural cavities. |
| Databáze: | OpenAIRE |
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