Erdeşir NASERİ, M. Kamuran ERK, Meral SEVİNÇ, Fevzi ALO

Coronary bypass through very limited sternotomy

Coronary artery bypass grafting CABG is the most widely performed operation and its techniques are being continuously improved. We perfomed CABG on a beating heart through a very limited sternotomy incision. Methods: Between 1 Feb and 30 Oct, 2000 36 patients underwent CABG through a partial sternotomy in the distal third of the sternum. Patients with stenosis of the obtuse marginal, posterior descending and left main coronary arteries were excluded. Emergency operation was considered as a contraindication for the use of this technique. Results: In 4 patients the operation was reverted to other classic methods (11.1 %). The patients received an average of 1.4 grafts. One patient developed enzymatic and electrocardiographic criteria of myocardial infarction in the perioperative period. Endarterectomy was carried out in 5 patients. No patient was reoperated due to bleeding or other reason. Control angiography in 11 patients (30.5 %) with 17 grafts showed two occluded grafts (11. 7 %). Conclusion: CABG to the anterior vessels of the heart can be carried out through very limited sternotomy with satisfying results.

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