|
| MYOCARDIAL
REVASCULARISATION WITH MULTIPLE ARTERIAL GRAFTS: EARLY RESULTS
|
|
B. Đukanović, S. Mićović, P. Milojević, M. Jakovljević, S.
Birovljev, D. Nežić, Lj. Laušević-Vuk, M. Jović and S. Nenić
|
| Dedinje
Cardiovascular Institute, Belgrade, Yugoslavia |
Methods: During last 15 months, we performed myocardial
revascularisation surgery with two or more arterial conduits in
127 patients with coronary artery disease: in 78 of them only
arteries were used for bypass. There were 112 (88.2%) men and
15 (11,8%) women. Age of patients ranged from 32 to 71 years (mean
54). Left main disease was present in 14 (11%) patients and mean
EF was 43%. Double bypass was performed in 58 (45.7%), triple
in 53 (41.7%), quadruple in 15 (11,8%) patients and quintuple
bypass was performed in one case (0,8%). In five cases simultaneous
LV aneurysm resection was performed. Total number of arterial
grafts used was 275, left internal thoracic arteries 44 and gastroeiploic
arteries 4 (3,1%). There were 29 (22,8%) beating heart and 5 (3,9%)
redo procedures. Results: Operative mortality rate was 3,1%: 2
patients died due to heart problems and two sustained cerebrovascular
events with lethal outcome. Postoperative complications were detected
in 27 (21,3%) patients, including ventricular arrythmias, respiratory
insufficiency, haemodynamic instability, pneumothorax, pleural
effusion, CVI and per-operative myocardial infarction and prolonged
fever. Conclusion: Myocardial revascularisation with multiple
arterial grafts can be performed with low early mortality rate
.
|