[One-stop hybrid cardiac surgery for adults with complex heart disease].
OBJECTIVE
To evaluate the efficacy and security of one-stop hybrid cardiac surgery for the treatment of adult patients with complex heart disease.


METHODS
From November 2011 to March 2012, a total of 5 patients [4 male, mean age: (58.8 ± 14.7) years] underwent one-stop hybrid approach in the hybrid operating room. Two patients suffered from multi-coronary lesions, 2 patients were diagnosed with both valvular heart disease and coronary disease, and another 1 patient had valve disease and congenital heart disease (patent ductus arteriosus). Minimally invasive cardiac surgery (coronary artery bypass grafting for the left anterior descending or valvular surgery) and percutaneous intervention were performed in an enhanced operative unit. The efficacy and security of one-stop hybrid cardiac surgery were evaluated after the procedure.


RESULTS
The one-stop hybrid procedure was successful in all patients. Left internal mammary artery grafts were unobstructed. A total of 6 non-left anterior descending coronary lesions were treated by percutaneous coronary intervention and 6 drug-eluting stents were implanted. There was no death, perioperative myocardial infarction, heart failure, prosthetic valve dysfunction, respiratory failure, stroke or repeat surgery during the procedure period. All patients remained free from angina, prosthetic valve dysfunction and patent ductus arteriosus recanalisation during the 3.2 months (rang 1 to 5 months) follow-up period.


CONCLUSIONS
One-stop hybrid cardiac surgery provides a reasonable, feasible and safe alternative for treating adult patients with complex heart disease.
Department of Heart Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.
Ai-qiang
AQ
Dong
Yong
Y
Sun
Hai-feng
HF
Cheng
Mei-xiang
MX
Xiang
Min-jian
MJ
Kong
Jun
J
Jiang
Shi-wei
SW
Xu
Xin-yang
XY
Hu
Jian-an
JA
Wang
D000328:Adult; D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods; D006348:Cardiac Surgical Procedures; D001026:Coronary Artery Bypass / Q000379:methods; D005260:Female; D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome