Experience of minimally invasive direct myocardial revascularisation technique in coronary artery bypass
Minimally invasive direct myocardial revascularization results in cardio-vascular surgery clinic for advanced training №1 of Military medical academy are presented for 2010-2013 time period. 43 procedures have been performed using this technique. Maximum follow-up period was 36 months. Results: there were no deaths and myocardial infarctions during follow-up. Mean hospital stay was 7,2 days. Four patients had superficial wound infection, one had deep wound infection (upper rib osteomyelitis), followed by surgical debridement and secondary wound closure. To control graft patency computer tomography coronarography was made. There was occlusion of mammaro-coronary graft revealed in one patient over 6 month’s period. There were no differences in late graft patency when compared to patients after left internal thoracic artery to left anterior descendens artery anastomosis through median sternotomy. Patients after minimally invasive procedure showed less hospital stay, less intraoperative and postoperative blood loss, less ventilation time, intensive care unit stay, less pain.