MIDCABG followed by a gastrointestinal operation in the same anesthetic setting.
Cardiovascular complications continue to be a significant source of morbidity and mortality in patients having noncardiac operations. This especially is true in patients with known coronary artery disease facing intraabdominal operations. Minimally invasive direct coronary artery bypass grafting allows coronary artery grafting without cardiopulmonary bypass or a median sternotomy incision. Also, in combination with angioplasty (the "hybrid procedure"), it is possible to offer complete revascularization with far less surgical trauma. We present 2 cases of patients who had minimally invasive direct coronary artery bypass grafting followed by major gastrointestinal operations in the same anesthetic setting.
Zolfaghari
D
D
Division of Cardiothoracic Surgery, Washington Hospital Center, Washington, DC, USA.
Pfister
A J
AJ
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D000768:Anesthesia, General; D017130:Angioplasty; D002315:Cardiopulmonary Bypass; D003082:Colectomy; D003110:Colonic Neoplasms / Q000601:surgery; D003327:Coronary Disease / Q000601:surgery; D005743:Gastrectomy; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D007431:Intraoperative Complications / Q000517:prevention & control; D007889:Leiomyoma / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D013249:Sternum / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery; D013908:Thoracotomy