Surgical revascularization of posterior coronary arteries without cardiopulomonary bypass

OBJECTIVE: To assess the results observed during the early postoperative period in patients who had the posterior coronary arteries revascularized without cardiopulmonary bypass (CPB), in regard to the following parameters: age, sex,bypass grafts types, morbidity and mortality. METHODS: From January...

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Published in:	Arquivos brasileiros de cardiologia Vol. 72; no. 5; pp. 597 - 600
Main Authors:	Lobo Filho, J. Glauco, Albuquerque, João Marcelo A. C. de, Gomes, Carlos Bellini G., Siqueira, Rafael P. de, Landim, Rodrigo M., Oliveira, Ricardo R. M. de, Oliveira, Francisco M. de, Ciarline, Ciro, Feitosa, J. Acácio, Leitão, Maria Claudia, Pinheiro, Francisca Elita B., Façanha, Erirtonio, Paes Jr, J. Nogueira
Format:	Journal Article
Language:	English
Published:	Sociedade Brasileira de Cardiologia - SBC 01-05-1999 Sociedade Brasileira de Cardiologia (SBC)
Subjects:	CARDIAC & CARDIOVASCULAR SYSTEMS cardiopulmonary bypass minimally invasive surgery myocardial revascularization minimally invasive surgery cardiopulmonary bypass myocardial revascularization
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Summary:	OBJECTIVE: To assess the results observed during the early postoperative period in patients who had the posterior coronary arteries revascularized without cardiopulmonary bypass (CPB), in regard to the following parameters: age, sex,bypass grafts types, morbidity and mortality. METHODS: From January 1995 to June 1998, 673 patients underwent myocardial revascularization (MR). Of this total, 607 (90.20%) MR procedures were performed without CPB. The posterior coronary arteries (PCA) were revascularized in 298 (44.27%) patients, 280 (93.95%) without CPB. The age of the patients ranged from 37 to 88 years (mean, 61 years). The male gender predominated, with 198 men (70.7%). The revascularization of the posterior coronary arteries had the following distribution: diagonalis artery (31 patients, 10%); marginal branches of the circumflex artery (243 patients, 78.7%); posterior ventricular artery (4 patients, 1.3%); and posterior descending artery (31 patients, 10%). RESULTS: Procedure-related complications without death occurred in 7 cases, giving a morbidity of 2.5%. There were 11 deaths in the early postoperative period (mortality of 3.9%). CONCLUSION: Similarly to the anterior coronary arteries, the posterior coronary arteries may benefit from myocardial revascularization without CPB.
ISSN:	0066-782X 1678-4170 0066-782X 1678-4170
DOI:	10.1590/S0066-782X1999000500006