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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

MYOCARDIAL REVASCULARISATION WITH MULTIPLE ARTERIAL GRAFTS: EARLY RESULTS
B. Đukanović, S. Mićović, P. Milojević, M. Jakovljević, S. Birovljev, D. Nežić, Lj. Laušević-Vuk, M. Jović and S. Nenić
Dedinje Cardiovascular Institute, Belgrade, Yugoslavia

Methods: During last 15 months, we performed myocardial revascularisation surgery with two or more arterial conduits in 127 patients with coronary artery disease: in 78 of them only arteries were used for bypass. There were 112 (88.2%) men and 15 (11,8%) women. Age of patients ranged from 32 to 71 years (mean 54). Left main disease was present in 14 (11%) patients and mean EF was 43%. Double bypass was performed in 58 (45.7%), triple in 53 (41.7%), quadruple in 15 (11,8%) patients and quintuple bypass was performed in one case (0,8%). In five cases simultaneous LV aneurysm resection was performed. Total number of arterial grafts used was 275, left internal thoracic arteries 44 and gastroeiploic arteries 4 (3,1%). There were 29 (22,8%) beating heart and 5 (3,9%) redo procedures. Results: Operative mortality rate was 3,1%: 2 patients died due to heart problems and two sustained cerebrovascular events with lethal outcome. Postoperative complications were detected in 27 (21,3%) patients, including ventricular arrythmias, respiratory insufficiency, haemodynamic instability, pneumothorax, pleural effusion, CVI and per-operative myocardial infarction and prolonged fever. Conclusion: Myocardial revascularisation with multiple arterial grafts can be performed with low early mortality rate .

Drugi kongres kardiologa i angiologa Bosne i Hercegovine
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