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ABSTRACT 69
ECHOCARDIOGRAPHYS FINDINGS IN OUTPATIENT CORONARY
SURGERY (OCS) USING THE VORTEX STABILIZER.
Apruzzese Italo*, Lugo Adalberto*, Rivera José*,
Hidalgo Pedro*, Guida Máximo*, Benetti Federico**
*Cardiac surgeon, Cardiologist, Cardiac surgeon, Cardiologist,
Hospital Coromoto de Maracaibo, Cardiac surgeon, Clinica Guerra
Mendez de Valencia, **Benetti Foundation Cardiac Surgeon.
In 1997 **we started to apply the technique we called the Xiphoid
Approach (XA). Essentially in this technique we section the xiphoid
appendix and the lower part of the esternum in five to nine cm
length. Next one or two arterial ducts are dissected. Using mechanical
stabilizer (CTS guidant) we performed the anasthomosis. In 5 patients
(10% of the our cohort) it was accomplished in ambulatory way,
it means, the patient was extubated, did walked inside the operating
room and them he was discharged before the next 24 hours. In 1
patients we used local anesthesia with supporting measures and
in 4 patients, general anesthesia. In the last patients we used
the Vortex (CTS guidant) to Stabilized the heart and perform the
anasthomosis. During the surgery the patient was monitored with
SONOS 1000 Transesophageal biplane echocardiography (TEE, Hewlett-Packard
Co, Andover, Mass) in 4 and 2 chamber view. We find a transient
Intraoperatory enlargement of the right ventricle without any
hemodinamical disturbs, which disappears immediately after the
stabilizer has been eliminated. The patient had another control
one week after surgery that showed normal right and left ventricular
function. The goal of this brief communication is to call attention
about this reversible finding using the Vortex stabilizer. That
we consider irrelevant during this kind of procedure.
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