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Copyright & 1998 - 2016 Tencent. All Rights ReservedClinical observation of off-pump coronary artery bypass grafting in 71 patients under 45 years of age--《Journal of Cardiovascular and Pulmonary Diseases》2011年01期
Clinical observation of off-pump coronary artery bypass grafting in 71 patients under 45 years of age
LI Qin,GU Chengxiong,YU Yang,LI Jingxing,WEI Hua Department of Cardiac Surgery,Capital MedicalUniversity affiliated Beijing Anzhen Hospital,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing10029,China
Objective:Coronary artery bypass graft has been one of the effective treatment tools for patients with coronary artery disease. Young patients increase year by year. Then we’ll analyze and summary clinical presentations of patients underwent off-pump coronary artery bypass grafting who are all younger than 45 years old. Methods:71 consecutive patients underwent OPCAB in this study. For preoperative diagnosis of leftventricular mural thrombus without aneurysm patients,we performed plication of left ventricular aneurysm duringoff-pump coronary a for patients with diffused coronary artery disease,coronary endarterecto- for patients with diffused and small diemeter of the right coronary artery,selective coronary venous arterial-ization. The following perioperative variables were reviewed and evaluated: the changing in the number of pa-tients,different grafting strategies,the grafts per patient,postoperative complications and clinical outcomes. Results:The mean grafts per patient were (3. 0 ±0. 7). The total hospital mortality was 2. 8% (2 of 71 patients).Among them,29 patients underwent total arterial bypass. Over the same period,7 patients underwent plication ofleft ventricular aneurysm. Coronary artery endarterectomy in 1 patient. From October 1996 to December 2008,The population with OPCAB increased year by year,but the number of patients younger than 45 years old who underwent OPCAB decreased year by year from 2006. The percentage of bilateral internal mammary artery usage ishigher in this group than the patients older than 45 years of age(P
0. 05). Meanwhile,there was no statisticsignificance ofdifference in total grafts(P
0. 05). Conclusion:For young,the proportion of male was higher,and coronary artery lesions were diffuse. For patients with long segment diffuse distal lesions,coronary venous by-pass graft can be considered to use,and the early-term curative effects are satisfied.
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