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Register a new userOf-pump Coronary Surgery is a well approved Surgical Method
الجراحة الإكليلية على قلب نابض طريقة أثبتت فعاليتها
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Damascus University ورقة بحثية
Publication date
2003
fields
Medicine
and research's language is
العربية
Authors
يوسف دياب( باحث )
Created by
Shamra Editor
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ما بين عام 1996 – 2002 أجرينا (171) عملية مجازات إكليلية على قلب نابض بدون استعمال جهاز القلب و الرئة الاصطناعية CABG pump-off كانت معظم الإصابات على الشريان الأمامي النازل أو أحد تفرعاته و الشريان الإكليلي الأيمن. منذ عام 2000 بدأنا باستعمال جهاز رافع لقمة القلب مما ساعدنا على إجراء مجازات للشريان المنعطف أو أحد تفرعاته على الوجه الخلفي للقلب. كانت 58 حالة فيها وظيفة البطين الأيسر سيئة (% 30< EF) و كانت نسبة الاحتشاء ما بعد الجراحة 5 % (9 حالات)، و الوفيات كانت 85.0 % (حالتان فقط)، كانت المضاعفات الأخرى نادرة. اتسمت هذه الحالات بحسن تحمل المريض للجراحة و قلة الأيام التي قضاها في المشفى.
We studied the case of 171 patients who had CABG on a beating heart without CPB. 58 Patients had (EF < 30% ) . All Patients had CABG for LAD, 98 Patients had CABG for RCA + LAD. 34 Patients had CABG for CX + LAD. only 5 % had post operative Myocardium infarction. Postoperative Mortality was 0.85% .Other complications were rare .
References used
Chang PB, Sussman MS, Conte JV, Greja MA, Schulman SP, Gerstenblith G, Wang NY,Capriotti weiss JL: Postoperative Ventricular function and Cardiac ezymes after onpump versus off-pump CABG surgery. Am.J.Cardial. 2002 May 1;89 (9) : 1107-10
Jansen EW,GrundmanPF,Borst C, Eefting F,Dicphuis J, Nierich A, Lahpor JR, Bredce JJ. Eur.J.Cardiothoracic Surg. 1997 Sep;12(3):406-12
Reghuram AR, Sayeed MR, Girinath MR. Indian Heart J 2002 Jul-Aug;54(4): 379-83
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