RESUMO
Numerous coronary revascularization studies have documented superior results associated with bilateral internal thoracic artery grafting compared with single internal thoracic artery grafting. However, concerns about perioperative complications and the technical challenges inherent in bilateral grafting limit its broad utilization. In this video tutorial we show our routine technique for off-pump bilateral internal thoracic artery grafting, and also discuss the experience of our department and the evolving process of how we have performed myocardial revascularization over the past two decades.
Assuntos
Ponte de Artéria Coronária sem Circulação Extracorpórea , Doença da Artéria Coronariana/cirurgia , Complicações Intraoperatórias/prevenção & controle , Artéria Torácica Interna/transplante , Revascularização Miocárdica/métodos , Complicações Pós-Operatórias/prevenção & controle , Ponte de Artéria Coronária sem Circulação Extracorpórea/efeitos adversos , Ponte de Artéria Coronária sem Circulação Extracorpórea/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
Isolated aortic valve repair is an alternative to aortic valve replacement in patients with severe aortic regurgitation. It reduces the risk of prosthesis-related complications, such as thromboembolism and endocarditis, and there is no need for long-term oral anticoagulation. However, repair techniques are technically demanding, especially in bicuspid aortic valves.