RESUMEN
A 59-year-old man presented with complaints of giddiness caused by changes in body position, unsteady gait, daily episodes of vision loss, breathlessness, and chest pain flowing minor physical exertion. Computed tomography revealed occlusion of the right common carotid artery, critical stenosis of the left common carotid artery, and significant stenosis of the left internal carotid artery. A coronarography detected stenosis of the left main coronary artery plus 3-vessel disease. Simultaneous aortic-bicarotid bifurcation prosthesis and coronary artery bypass grafting were performed. The patient showed a satisfactory postoperative outcome.
RESUMEN
The microscope-assisted coronary artery bypass grafting (CABG) is a special technique of direct myocardial revascularization by the operating microscope using special equipment and atraumatic sutures. This method allows to complete elimination of technical errors during the performance of distal anastomoses and can be used to improve the outcomes and quality of conventional technique of operations. This article focuses on a detailed description of the technique for performing a distal anastomosis using a microsurgical technique and an operating microscope. Immediate results of operations are also reported. The data obtained suggest that microscope-assisted CABG is a safe, effective and reproducible procedure.
Asunto(s)
Puente de Arteria Coronaria , Función Ventricular Izquierda , Anastomosis Quirúrgica , Humanos , Masculino , Revascularización Miocárdica , Volumen Sistólico , Resultado del TratamientoRESUMEN
Abstract The microscope-assisted coronary artery bypass grafting (CABG) is a special technique of direct myocardial revascularization by the operating microscope using special equipment and atraumatic sutures. This method allows to complete elimination of technical errors during the performance of distal anastomoses and can be used to improve the outcomes and quality of conventional technique of operations. This article focuses on a detailed description of the technique for performing a distal anastomosis using a microsurgical technique and an operating microscope. Immediate results of operations are also reported. The data obtained suggest that microscope-assisted CABG is a safe, effective and reproducible procedure.