Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1990-4-19
pubmed:abstractText
Thirty patients have been operated on since July 1986. The mean age was 55 years (range 32-68). Twenty-three simple and 7 double bypasses were performed. The internal mammary artery and 1 prosthetic conduit were used for the 29 left anterior descending (LAD) anastomoses and saphenous vein for the others [5 right coronary artery (RCA), 3 diagonal]. The use of an implantable Doppler probe for continuous monitoring during the 1st postoperative week confirmed patency and gave an estimated flow (mean: 79.23 ml/min, range 43.4). There were no deaths and no cases of infarction or ischaemia, but stress test performance improved. The main advantage of this rapid and safe technique was avoidance of morbidity of extracorporeal circulation (ECC) and limited operative myocardial ischaemia. Criteria of selection were unstable, permanent angina (14); unsuccessful PTCA (8) PTCA and failure (5 emergency cases), redo surgery (4); poor LV function (EF less than 20%) (3); fibrinolytic treatment or severe coagulopathy (2). The ideal patient has severe stenosis with or without retrograde filling of LAD with either RCA or circumflex (which require a lateral thoracotomy).
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1010-7940
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
152-4; discussion 154-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1989
pubmed:articleTitle
Aortocoronary bypass without extracorporeal circulation: why and when?
pubmed:affiliation
Department of Cardiac Surgery, Hospital Lariboisière, Paris, France.
pubmed:publicationType
Journal Article