title: [Coronary artery bypass graft surgery with bilateral internal mammary artery. Short-term results].
abstract: BACKGROUND
  Coronary artery bypass graft (CABG) surgery remains the reference standard in the treatment of multivessel coronary disease. Several studies have shown that CABG with bilateral internal mammary arteries (BIMA) has better results in long-term survival.
  
  
  METHODS
  A retrospective study was conducted on CABG surgeries with BIMA from January 2012 to December 2015 in the National Cardiovascular Institute, INCOR, EsSalud, Peru. The objectives were to determine the mortality and major cardiovascular events at 30 days follow-up.
  
  
  RESULTS
  Of the 36 patients subjected to CABG surgery with BIMA, the 30-day mortality was 0%, with major cardiovascular events occurring in 5.56% of patients (Stroke 0%, postoperative myocardial infarction 5.56%, need of new coronary intervention 0%). The incidence of mediastinitis and/or sternal reconstruction was 0%. Superficial wound infection was observed in 7 patients, with there being no significant difference between diabetics and non-diabetics (25% vs. 16.66%, OR=3.3, P=.88), or between patients with or without overweight (19.23% vs. 20%, respectively, OR=.95; 95% CI, P=.68).
  
  
  CONCLUSIONS
  CABG surgery with BIMA is a safe procedure, with low rates of mortality and major cardiovascular events in the short-term.
authors.affiliation: Servicio de Cirugía Cardíaca, Instituto Nacional Cardiovascular, INCOR, EsSalud, Lima, Perú. Electronic address: jcrioso40@hotmail.com.
authors.forename: Josías Caleb
authors.initials: JC
authors.lastname: Ríos Ortega
authors.affiliation: Medicina General, Universidad Nacional Mayor de San Marcos, Lima, Perú.
authors.forename: Paul
authors.initials: P
authors.lastname: Castañeda Castillo
authors.affiliation: Unidad de Cardiología Nuclear, Servicio de Ayuda al Diagnóstico, Instituto Nacional Cardiovascular, INCOR, EsSalud, Lima, Perú.
authors.forename: Luisa
authors.initials: L
authors.lastname: Talledo Paredes
authors.affiliation: Servicio de Cirugía Cardíaca, Instituto Nacional Cardiovascular, INCOR, EsSalud, Lima, Perú.
authors.forename: Franz
authors.initials: F
authors.lastname: Soplopuco Palacios
authors.affiliation: Servicio de Cirugía Cardíaca, Instituto Nacional Cardiovascular, INCOR, EsSalud, Lima, Perú.
authors.forename: Necemio
authors.initials: N
authors.lastname: Aranda Pretell
authors.affiliation: Servicio de Cirugía Cardíaca, Instituto Nacional Cardiovascular, INCOR, EsSalud, Lima, Perú.
authors.forename: Yemmy
authors.initials: Y
authors.lastname: Pérez Valverde
authors.affiliation: Servicio de Cirugía Cardíaca, Instituto Nacional Cardiovascular, INCOR, EsSalud, Lima, Perú.
authors.forename: Julio
authors.initials: J
authors.lastname: Morón Castro
authors.affiliation: Servicio de Cirugía Cardíaca, Instituto Nacional Cardiovascular, INCOR, EsSalud, Lima, Perú.
authors.forename: Andrés
authors.initials: A
authors.lastname: Reyes Torres
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
keywords: Arteria mamaria interna; Bilateral internal mammary artery; Chronic coronary artery disease; Coronary artery bypass graft surgery; Enfermedad coronaria crónica; Peru; Perú; Revascularización de miocardio