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[通过微创入路进行心肌外科血运重建]

[Surgical Revascularization of the Myocardium by Minimally Invasive Access].

作者信息

Conde Moncada Roger Yoel, Sisniegas Razón Aldrix Josué

机构信息

Instituto Nacional Cardiovascular, EsSalud, Lima, Perú. Instituto Nacional Cardiovascular, EsSalud Lima Perú.

出版信息

Arch Peru Cardiol Cir Cardiovasc. 2023 Mar 31;4(1):33-36. doi: 10.47487/apcyccv.v4i1.254. eCollection 2023 Jan-Mar.

Abstract

Median sternotomy is the Gold Standard access for surgical revascularization of the myocardium, but it is not free of complications, especially in patients with multiple comorbidities. Minimally invasive access offers the advantage of avoiding sternotomy, achieving a more accelerated postoperative recovery, with less hospital stay time and a higher level of satisfaction with quality of life. We present the case of a 49-year-old male patient, diabetic, hypertensive, smoker, with multiarterial coronary artery disease, very symptomatic, who underwent surgical revascularization by left mini-thoracotomy.

摘要

正中胸骨切开术是心肌外科血管重建的金标准入路,但它并非没有并发症,尤其是在患有多种合并症的患者中。微创入路具有避免胸骨切开术的优势,能实现术后更快恢复,住院时间更短,患者对生活质量的满意度更高。我们介绍一例49岁男性患者的病例,该患者患有糖尿病、高血压,有吸烟史,患有多支冠状动脉疾病,症状非常明显,通过左胸小切口进行了外科血管重建。

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