Key result
Multivessel total arterial revascularization via an anterolateral thoracotomy approach in 27 patients resulted in no operative mortalities and no conversions to cardiopulmonary bypass.
Why the study?
Is multivessel total arterial revascularization via left thoracotomy safe and feasible in patients requiring coronary revascularization?
Observational (n=27)
Is multivessel total arterial revascularization via left thoracotomy safe and feasible in patients requiring coronary revascularization?
Multivessel total arterial off-pump coronary revascularization via left anterolateral thoracotomy appears feasible and safe in a small initial series.
Appears feasible in this small series but should not change practice; leaves open the need for prospective trials to confirm safety.
Off-pump coronary artery bypass grafting is now becoming the preferred method of coronary revascularization. The trend is towards complete revascularization, preferably arterial. We are describing here a method of multivessel, total arterial, complete revascularization via an anterolateral thoracotomy approach in 27 patients. There was an average of 3.2 grafts/patient. Angiograms were performed in 9 patients (33.33 %). There were no operative mortalities. None of the patients required conversion to cardiopulmonary bypass or midsternotomy.
No takes yet. Share an insight, caveat, or question.
Singh et al. (2004) conducted an observational in Coronary artery disease requiring revascularization (n=27). Multivessel total arterial revascularization via anterolateral thoracotomy was evaluated on Operative mortality. Multivessel total arterial revascularization via an anterolateral thoracotomy approach in 27 patients resulted in no operative mortalities and no conversions to cardiopulmonary bypass.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: