Waldo Emerson Pinheiro Daniel
Federal University of RN, Brazil
Title: MICS CABG OFF PUMP – Why this choice? How I do!
Biography
Biography: Waldo Emerson Pinheiro Daniel
Abstract
The present study was performed with 132 patients with Coronary Artery disease, randomly selected, excluding only those with a greatly increase Cardiac area and/ or patient with ejection fraction below 40%, as well as patients with severe pneumopahies and significant depression of ventilatory function. All patients underwent complete revascularization of the myocardium without the use of extracorporeal circulation, nor at least as ventricular assistance and the access was performed through left anterolateral thoracotomy. The left Internal Mamary artery was harvested in its entirety and by direct vision in used in situ; the Safenous Graft, when used, its proximal anastomosis is performed first and in the ascending portion of the Aorta Artery. In the first and a few days after surgery, it was observed there was a significant decreases in thoracic drainage volume(competed to conventional surgery), past the first postoperative day, the analgesia is decreased and usually the patients leaves the CTI. These patients invariably present as oligossymptomatic or even asymptomatic, more confident, being discharged about the 4th day of hospitalization. After discharge, in consultation, the patients reported us, the early return to their normal life and their satisfaction with it, consequently whit the procedure. After six months, the same patients underwent coronary Angiotomography(That show us a hundred per cent of Mamary Artery graft and eight nine per cent of the safenous graft pattency), to control graft patency and also the clinical evaluation, that in this series, precisely in this is month evaluation, no patient presented any complaints or symptoms.