Total arterial myocardial revascularization without cardiopulmonary bypass

G. Sani, M. A. Mariani, F. Benetti, G. Lisi, P. Totaro, P. P. Giomarelli, M. Toscano

Research output: Contribution to journalArticle

Abstract

The risks associated with cardiopulmonary bypass have led to an interest in coronary surgery without the use of such a bypass. Six patients of mean (s.d.) age 62.0 (8.0) (range 52-71) years were selected for elective coronary surgery without cardiopulmonary bypass. In five cases a midline sternotomy and in one case a small anterolateral thoracotomy were performed; in the latter case the harvesting of the proximal end of the left internal mammary artery was video-assisted by thoracoscopy. The left internal mammary artery was used in all cases; the right internal mammary artery was used in one case, the radial artery in four, the inferior epigastric artery in two and the right gastroepiploic artery in one. No patient died or had a stroke. There were no postoperative episodes of low cardiac output syndrome or perioperative myocardial infarction. All patients were extubated within a few hours after surgery. The mean (s.d.) intensive care unit and hospital stays were 13 (0.5) and 5.0 (0.9) days, respectively. Total arterial myocardial revascularization without cardiopulmonary bypass using composite grafts, is a new and promising technique that is feasible with low risks and good early results in selected cases.

Original languageEnglish
Pages (from-to)825-829
Number of pages5
JournalCardiovascular Surgery
Volume4
Issue number6
DOIs
Publication statusPublished - Dec 1996

Keywords

  • arterial grafts
  • cardiopulmonary bypass
  • composite arterial grafts
  • coronary artery bypass
  • left thoracotomy
  • thoracoscopy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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  • Cite this

    Sani, G., Mariani, M. A., Benetti, F., Lisi, G., Totaro, P., Giomarelli, P. P., & Toscano, M. (1996). Total arterial myocardial revascularization without cardiopulmonary bypass. Cardiovascular Surgery, 4(6), 825-829. https://doi.org/10.1016/S0967-2109(96)00051-8