Müllejans B, Rolf N, Möllhoff T, Tjan D, Scheld H H, Van Aken H, Loick H M
Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Klinikum Karlsburg, Ernst-Moritz-Arndt-Universität Greifswald.
Anasthesiol Intensivmed Notfallmed Schmerzther. 1997 Dec;32(12):708-14. doi: 10.1055/s-2007-995140.
In the course of present reevaluation of aortocoronary bypass grafting a minimal invasive surgical procedure avoiding the use of cardiopulmonary bypass has been revised. It is suitable born for palliative treatment of patients with coronary multi-vessel-disease and compromised left ventricular function, and likewise for curative treatment of patients with single-vessel disease of a left coronary artery branch and unimpaired ventricular function. Avoiding possible complications of cardiopulmonary bypass can minimise morbidity and lethality of aortocoronary bypass grafting procedure and can help to lower costs. Anaesthesia for minimal invasive direct coronary artery bypass grafting needs an anaesthesiological concept differing from anaesthesia for conventional coronary artery bypass surgery. This concept, considering the special aims of minimal invasive technique, is discussed and demonstrated by means of case reports.
在目前对主动脉冠状动脉旁路移植术的重新评估过程中，一种避免使用体外循环的微创手术方法得到了改进。它适用于对患有冠状动脉多支血管疾病且左心室功能受损的患者进行姑息治疗，同样也适用于对左冠状动脉分支单支血管疾病且心室功能未受损的患者进行根治性治疗。避免体外循环可能出现的并发症可将主动脉冠状动脉旁路移植术的发病率和死亡率降至最低，并有助于降低成本。微创直接冠状动脉旁路移植术的麻醉需要一种不同于传统冠状动脉旁路手术麻醉的麻醉理念。结合病例报告对这一考虑到微创技术特殊目的的理念进行了讨论和说明。
