Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 5 Issue 2

Multiple Repeated Coronary Bypass Surgery Using the MICS Method with Using an Intraoperative Flowmeter

Kazaryan AV*, Sigaev IY, Starostin MV, Keren MA, Morchadze BD, Pilipenko IV, Kydachev IF and Shoniya ZD

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russian Federation, Russia

*Corresponding Author: Kazaryan AV, A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russian Federation, Russia.

Received: December 08, 2020; Published: December 29, 2020

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Abstract

Repeated coronary bypass surgery (redo-CABG) is still an operation of increased complexity and accompanied by a higher risk of morbidity and mortality compared to the primary CABG. Resternotomy remains the most necessary access in surgical practice with repeated heart surgery, despite a recognized high risk. The high risk of redo-CABG is largely due to technical difficulties: re-access and cardiolysis. The shortcomings of resternotomy have led to the development of alternative access to the heart, including for the implementation of redo-CABG. The purpose of our communication is to provide a clinical case of successful redo-CABG using the MICS technique. Output. Performing redo-CABG on the method of MICS in patients with the return of angina after CABG leads to an improvement in the results of surgical treatment: reducing the frequency of complications associated with resternotomy and shortening the rehabilitation period.

Keywords: Repeat Coronary Bypass Surgery; Thoracotomy; Transit Time Flow Measurement; MICS CABG

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References

  1. Subramanian VA. “Clinical experience with minimally invasive reoperative coronary bypass surgery”. European Journal of Cardio-Thoracic Surgery 10 (1996): 1058-1062.
  2. Niinami H., et al. “Partial median sternotomy as a minimal access for off-pump coronary artery bypass grafting: Feasibility of the lower-end sternal split-ting approach”. Annals of Thoracic Surgery 72 (2001): 1041-1045.
  3. Yaku H and Doi K. “Redo coronary artery bypass grafting”. General Thoracic and Cardiovascular Surgery 62 (2014): 453-460.
  4. Ghanta R K., et al. “Evolving trends of re-operative coronary artery bypass grafting: An analysis of the Society of Thoracic Surgeons Adult Cardiac Surgery Database”. 145 (2013): 364-372.
  5. Azoury FM., et al. “Off-pump reoperative coronary artery bypass grafting by thoracotomy: patient selection and operative technique”. Annals of Thoracic Surgery 71 (2001): 1959-1963.
  6. Sabik JF., et al. “Occurrence and risk factors for reintervention after coronary artery bypass grafting”. Circulation 114 (2006): 454-460.
  7. Roselli EE., et al. “Adverse events during reoperative cardiac surgery: frequency, characterization, and rescue”. Journal of Thoracic and Cardiovascular Surgery 135 (2008): 316-323 (e1-6).
  8. Odeaa Al jabbari., et al. “Redo Coronary Artery Bypass Graft Surgery from the Descending Thoracic Aorta to the lateral wall of the Left Ventricle Via left Mini Thoracotomy”. 2016 Annual Meeting Cardiac Track (2016).
  9. Duvan I., et al. “Redo off-pump coronary artery bypass grafting via a left thoracotomy”. Cardiovascular Journal of Africa 1 (2015): 25-28.
  10. De Bruyne B., et al. “Fractional flow reserve-guided PCI vs. medical therapy in stable coronary disease”. The New England Journal of Medicine 11 (2012): 991-1001.
  11. D'Ancona G., et al. “Posterior thoracotomy for reoperative coronary artery bypass grafting without cardiopulmonary bypass: perioperative results”. Heart Surgery Forum1 (2000): 18-22; discussion 22-23.
  12. Sigaev IY., et al. “Repeated coronary artery bypass grafting PDA on a beating heart through right thoracotomy”. Grudnaya i serdechno-sosudistaya hirurgiya 1 (2017): 56-59.
  13. Kazaryan A., et al. “Minimally invasive coronary surgery as a primary strategy for reoperative myocardial revascularization”. The 26th Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery (2018): 12.
  14. Sigaev IY., et al. “Repeated reconstruction of distal mammarocoronary anastomosis through left thoracotomy”. Patologiya krovoobrashcheniya i kardiohirurgiya4 (2019): 130-133.
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Citation

Citation: Kazaryan AV., et al. “Multiple Repeated Coronary Bypass Surgery Using the MICS Method with Using an Intraoperative Flowmeter”.Acta Scientific Medical Sciences 5.2 (2021):.




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