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First Results of the Single Heartstring Aortotomy for Multiple Off-Pump Vein Grafts: A Case Series
Rafael Freire dos Santos,Lars Niclauss 대한흉부외과학회 2020 Journal of Chest Surgery (J Chest Surg) Vol.53 No.6
To validate the technique of the single Heartstring aortotomy for multiple off-pump ve- nous bypass grafts (described in 2015), the results of a 38-month follow-up study of 18 patients, including high-risk patients, are presented. No early deaths or cardiac or cerebral complications occurred. During the follow-up period, 2 patients died of non-cardiac caus- es, and 3 developed coronary ischemia. Ischemia occurred due to late graft occlusion in 2 patients, both of whom had normal postoperative courses and correct graft flow. The pres- ence of acute symptoms 24 months after surgery in these patients indicated that techni- cal graft failure was unlikely. This safe technique combines the advantages of simple and reproducible revascularization, the off-pump approach, and minimal aortic manipulation.