RESUMEN
In 1996-1998 in our Cardiocentre urgent revascularizations were made in 28 patients with developing acute myocardial infarction (AIM) with manifestations of different grades of acute circulatory failure up to developed cardiogenic shock and cardiac arrest. In all patients complete revascularization with a mean number of 2.9 bypasses per patient was made, in one patient at the same time a rupture of the interventricular septum was closed and in two patients an insufficient mitral valve was replaced. From the whole group two patients died during the early postoperative period, two were revised on account of postoperative haemorrhage and two had signs of low cardiac output. Twenty-two patients had a postoperative course without complications. Urgent surgical revascularization in patients developing AIM and circulatory deterioration is the method of primary and definite treatment when primary PTCA is not suitable.
Asunto(s)
Infarto del Miocardio/cirugía , Revascularización Miocárdica/métodos , Adulto , Anciano , Urgencias Médicas , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
The authors present the case of successfully treated patient with CAD, operated from left anterolateral minithoracotomy. Angiographic control two years later presents fully patent anastomosis without any signs of stenosis.
Asunto(s)
Revascularización Miocárdica/métodos , Toracotomía/métodos , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente InvasivosRESUMEN
During the period between January 1996 and July 1998 in our department 1920 patients were operated on account of heart disease from median sternotomy. In 17 patients, i.e. in 0.9% during the early postoperative period the surgical wound disintegrated incl. dehiscence of the sternum and the development of postoperative mediastinitis. In 14 of these patients the authors reconstructed the defect of the thoracic wall by their own modification of Jurkiewicz plastic operation using the pectoral muscles. One patient from this group died, in the remaining 13 patients the wound healed without deformity of the chest and without signs of instability, without restriction of movement and function.
Asunto(s)
Procedimientos de Cirugía Plástica/métodos , Complicaciones Posoperatorias/cirugía , Esternón/cirugía , Procedimientos Quirúrgicos Torácicos/métodos , Anciano , Femenino , Humanos , Masculino , Mediastinitis/etiología , Mediastinitis/cirugía , Colgajos Quirúrgicos , Dehiscencia de la Herida Operatoria/cirugíaRESUMEN
Case-history of a patient with IHD, six months after the first revascularization operation, performed on account of occluded venous grafts and relapse of anginous complaints, successfully reoperated from upper median laparotomy. From this surgical approach an anastomosis of the right gastroepiploic artery on the ramus interventricularis posterior (RIVP) of the right coronary artery was made. Six months after operation the patient is free from angionous complaints and lives a full life. Control coronarograpy indicates patency of the graft.