Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

S., Enrique Seguel; González, Roberto; Stockins, Aleck; C, Emilio Alarcón; C, Ricardo Concha

doi:10.4067/s0034-98872013000300001

Cited by 3 publications

(1 citation statement)

References 28 publications

(38 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…En series internacionales actuales la cirugía sin CEC representa aproximadamente 15 a 20% de los pacientes operados 31 . En nuestro equipo se adoptó la técnica de la cirugía sin CEC a mediados de la década pasada y se aumentó progresivamente su uso en pacientes de mayor riesgo quirúrgico y con mayor número de vasos enfermos 32,33 . En nuestra serie se operaron sin CEC 29,2% de los pacientes.…”

Section: Discussionunclassified

Cirugía coronaria: resultados inmediatos y alejados de la cirugía de revascularización miocárdica en enfermedad coronaria

et al. 2018

Rev. méd. Chile

View full text Add to dashboard Cite

Early and late results of coronary artery bypass grafting in coronary artery disease in Concepcion, Chile Background: Coronary artery bypass grafting (CABG) is the best treatment for a large group of patients with coronary artery disease. Aim: To describe early and late results of patients treated with CABG at our Center. Patients and Methods: Revision of data bases, surgical protocols and clinical registers of patients operated between January 2006 and December 2008. Results: Of 1.003 cardiac surgeries performed during the period, 658 corresponded to isolated CABG (78% in men). The median age of patients was 62 years. Left common coronary artery lesions was found in 135 cases (20%), 555 patients (84%) had hypertension and 231 (35%) were diabetics. Four-hundred thirty (65%) had stable angina and 211 (32%) had a recent myocardial infarction. Twenty-two had left ventricular ejection fraction < 30%. In 248 (38%), a low Additive EuroSCORE risk was found. Emergency surgery was required in 36 (6%) patients. Use of extracorporeal circulation was required in 466 patients (71%). Within 30 days of surgery, complications were recorded in 105 patients (16%) (15 (2%) stroke, 14 (2%) myocardial infarction, 7 (1%) mediastinitis, and in 14 (2%) a reoperation for bleeding). Thirteen patients died (2%). Among the 303 patients with stable angina and preserved left ventricular function, two died (0,7%). Survival at 1, 3 and 5 years was 97,4%, 93,8% y 90,9% respectively. Major adverse cardiac and cerebrovascular events at five years occurred in 20%, stroke in 4%, myocardial infarction in 3% and reintervention in 2%. Seven percent of patients had recurrence of angina. Conclusions: We describe a heterogeneous series of patients. The immediate and late results are comparable with international communications.

show abstract

Section: Discussionunclassified