Hybrid coronary revascularization for the treatment of left main coronary artery disease in high-risk patients

The Heart Surgery Forum
Ali FedakarMehmet Balkanay

Abstract

Hybrid coronary revascularization is an alternative for treatment for high-risk patients with coronary artery disease. We evaluated the efficacy of staged hybrid coronary revascularization for the treatment of unprotected left main coronary artery disease in high-risk patients. Patients with left main or proximal left anterior descending coronary artery stenosis who are not good candidates for percutaneous coronary intervention and who had suitable lesions in the right coronary and circumflex arteries were considered for staged hybrid therapy if they had poor left ventricular functions (ejection fraction <0.40) and comorbid illnesses. From January 2008 through December 2010, 11 patients (8 men, 3 women; mean age: 66.1 ± 9.1 years) were treated with off-pump coronary artery bypass grafting combined with staged percutaneous coronary intervention. Nine patients had left main coronary artery stenosis together with circumflex or right coronary artery stenosis, and 2 patients had proximal left anterior descending artery stenosis and right coronary artery stenosis. After off-pump coronary artery bypass grafting, procedure-related complications did not occur, and there was no in-hospital death. Coronary re-angiography after a median of...Continue Reading

References

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Oct 5, 2010·Current Opinion in Cardiology·Johannes BonattiDavid Zimrin

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Citations

Feb 20, 2013·Current Cardiology Reports·Kelly D GreenDavid Zhao
Aug 28, 2014·Current Opinion in Cardiology·Hadi ToegMarc Ruel
Mar 9, 2018·Journal of Cardiovascular Medicine·Alberto RepossiniClaudio Muneretto

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