title: [Total arterial myocardial revascularization: surgical technique and mid-term results].
abstract: The purpose of this study is to evaluate perioperative and mid-term results of total arterial coronary revascularization in our experience and to establish its safety. One-hundred and ninety-one patients underwent total arterial coronary revascularization at our Institution from February 1997 to August 2000. The mean age was 60.1 years. Of the patients, 45% had three coronary vessels disease, 12% a left main coronary artery disease and 2.6% of them were classified urgent. Mean ejection fraction was 59.6%. Three hundred and thirty-four comprehensive anastomoses were performed; mean grafts per patient was 1.8. A Y or T graft with the left internal thoracic artery was used in 21 patients. The in-hospital mortality rate was 1% (2 patients). Complications included low cardiac output syndrome in 2.8% of patients, acute myocardial infarction in 0.9% and acute renal insufficiency in 3.1%. Intraaortic balloon pump was used in 1.8% of patients. At a mean follow-up of 899 days the first 81 patients contacted are all free of angina but two (one experienced an acute myocardial infarction and another one died for a pulmonary neoplasia). We conclude that total arterial coronary revascularization is a safe surgical technique, providing excellent perioperative and mid-term results.
authors.affiliation: Divisione e Cattedra di Cardiochirurgia, Università degli Studi di Parma. francesco.nicolini@unipr.it
authors.forename: F
authors.initials: F
authors.lastname: Nicolini
authors.forename: B
authors.initials: B
authors.lastname: Borrello
authors.forename: A
authors.initials: A
authors.lastname: Budillon
authors.forename: C
authors.initials: C
authors.lastname: Beghi
authors.forename: C
authors.initials: C
authors.lastname: Reverberi
authors.forename: M
authors.initials: M
authors.lastname: Busi
authors.forename: T
authors.initials: T
authors.lastname: Gherli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods*; D013997:Time Factors