Title
Coronary artery bypass graft surgery with bilateral internal mammary artery. Short-term results
Other title
Cirugía de revascularización de miocardio usando arteria mamaria interna bilateral. Resultados a corto plazo
Date Issued
01 January 2018
Access level
open access
Resource Type
journal article
Publisher(s)
Instituto Nacional de Cardiologia Ignazio Chavez
Abstract
Introduction: 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. Methodology: 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 followup. 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.
Start page
9
End page
15
Volume
88
Issue
1
Language
Spanish
OCDE Knowledge area
Cirugía Sistema cardiaco, Sistema cardiovascular
Scopus EID
2-s2.0-85041121243
PubMed ID
Source
Archivos de Cardiologia de Mexico
ISSN of the container
14059940
Sources of information: Directorio de Producción Científica Scopus