Primary Hospital Surgical treatment of coronary heart disease (report of 14 cases).docVIP

 PAGE \* MERGEFORMAT 6 Primary Hospital Surgical treatment of coronary heart disease (report of 14 cases) Of: Zhang Yanlin Abdulla Cue the race to buy ????? Mamat A wooden fertility Coronary artery bypass grafting (CABG is the treatment of complex multi-vessel disease and severe coronary heart disease most commonly used method, we have since 2004 -2008 was 14 patients underwent “coronary artery bypass surgery,” Final Report are as follows: 1 Clinical data 1.1 General Information All patients 11 males and 3 females, aged 40 -72 years, mean 43.9 years old, had angina before surgery, including unstable angina in 12 cases, eight cases associated with history of myocardial infarction, hypertension history of 12 cases, 4 cases of diabetes mellitus, 6 patients had a history of smoking, a case of aneurysm formation, heart function 9 cases II, III 5 cases, preoperative EF :0.44-0 .68. 1.2 Procedures Cardiopulmonary bypass surgery under general anesthesia at room temperature in 6 cases, 1 case of resection of ventricular aneurysm simultaneously, intravenous heparin (3mg/kg, sternal incision to take the great saphenous vein at the same time, take the left internal mammary artery heparin given before, the conventional ascending aorta and right atrial double-lumen tube inserted, after the block transfer before the discovery site of obstruction, and anatomical parts of the anastomosis, aortic cardioplegia protection of myocardial perfusion, cardiac arrest, the distal anastomosis descending coronary artery, opening the ascending aorta after heart resuscitation with the aortic wall clamp, so the bridge vein proximal anastomosis with the ascending aorta, combined aneurysm cases, first aneurysm resection, coronary artery bypass graft anastomosis do. [1], 8 patients with stable coronary artery device, at room temperature down-pump beating heart coronary artery bypass grafting (OPCABG. 2 Results The group, cardiopulmonary bypass surgery under gener