MINI OPCAB. Mammary artery to the anterior descending artery. Technique and results in high risk patients

Abstract

The aim of this prospective study was to show the technique and results in a group of high-risk patients with multivessel disease treated with MINI-OPCAB operation LIMA to LAD and maximal medical treatment during the last 7 years in the Benetti Foundation.
Material and Methods: The average age was 71.07 (ST D 9.051 CI 95%), 21% were females: The preoperative risk Logistic Euroscore was 10.68 (ST D 5.407 CI 95%). The patients were strictly followed monthly in the Clinic of the Foundation by the Heart Team. Surgical technique: the patient is prepared like for a normal sternotomy. The sternum is open at the intercostal space level 3 or
4. The left internal mammary artery is dissected around 8 cm. Anastomosis is made in a beating heart using a mechanical stabilizer. Statistics. Data were analyzed with the Statistical Package for Social Sciences (SPSS. Version 15.0). Results: The operative mortality was 0% in this group of patients. The incidence of perioperative infarction was 0%. MACE at 80 months was 0%. Survival at 7 years was 82% (K-M). Conclusions: We strongly believe that the combination of a MINI OPCAB operation and optimal medical treatment, in high risk patients, with multivessel coronary disease is a valuable option for this type of patients, although more experience is needed to confirm these initials results.