ABSTRACT
Most patients with diffuse coronary disease require endarterectomy for revascularization. In view of the high morbidity and mortality associated with coronary endarterectomy, patch angioplasty and reconstruction of the coronary artery was developed. We retrospectively evaluated 104 patients who underwent mammary artery patch angioplasty of the left anterior descending coronary artery. The procedure consisted of laying open the entire diseased segment of the coronary artery and patching it with an in-situ left internal mammary artery onlay patch, without endarterectomy, in an off-pump procedure. One (0.9%) patient died, 2 (1.8%) suffered perioperative myocardial infarction, and an intraaortic balloon pump was used in 2. The mean blood loss was 224 mL. Intensive care unit stay was 2.5 days, and hospital stay was 7.8 days. At 1-year follow-up, most patients were in New York Heart Association functional class I. Follow-up angiography was carried out in 16 patients and showed good patency of all anastomoses. Arterial patch reconstruction of the left anterior descending coronary artery can be performed safely and effectively in an off-pump procedure, with excellent early and intermediate results.
Subject(s)
Coronary Artery Bypass/methods , Coronary Disease/surgery , Mammary Arteries/transplantation , Plastic Surgery Procedures/methods , Coronary Angiography , Coronary Disease/diagnostic imaging , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
Since the advent of off-pump coronary artery bypass surgery, a blower/mister has been routinely used in cardiac operation theatres. In our setup, in an attempt to reduce the cost of coronary artery bypass grafting by performing off-pump coronary artery bypass, reusable materials have been routinely used.
Subject(s)
Coronary Artery Bypass, Off-Pump/instrumentation , Coronary Artery Bypass, Off-Pump/adverse effects , Disposable Equipment , Equipment Design , Equipment Reuse , HumansABSTRACT
Tuberculosis rarely figures in the list of thymic masses. We hereby report a case of thymic tuberculosis successfully managed with surgical excision and antituberculouschemotherapy.
Subject(s)
Lymphatic Diseases/microbiology , Thymus Gland/microbiology , Tuberculosis/pathology , Adult , Anti-Bacterial Agents/therapeutic use , Biopsy , Humans , Lymphatic Diseases/drug therapy , Lymphatic Diseases/pathology , Male , Thymus Gland/pathology , Tuberculosis/drug therapyABSTRACT
SUMMARY: : Suprahepatic inferior vena caval (IVC) injuries are rare but carry nearly a 100% mortality rate. The main problem with its surgical management is the technical difficulty in draining the IVC during cardiopulmonary bypass. In this report, an efficient method of IVC drainage for repair of the IVC on cardiopulmonary bypass is described.
ABSTRACT
Isolated congenital intrapericardial aneurysm of the left atrium (LA) or the left atrial appendage (LAA) is a rare anomaly [Zhao 1999]. The patient usually presents with features of systemic embolization, serious arrhythmia, and severe congestive cardiac failure as a complication, which can be fatal. Once the condition is diagnosed, surgery is indicated [Zhao 1999]. We report a case of congenital left atrial appendage aneurysm in a woman who underwent excision of the same.