Electrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case report
Abstract Background Hybrid coronary revascularisation benefits patients with multivessel disease, as it amalgamates the minimally invasive direct coronary artery bypass (MIDCAB) procedure and percutaneous coronary intervention (PCI). Case summary We present a 63-year-old female with triple-vessel co...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
| Online Access: | https://doi.org/10.1186/s13019-024-03203-x |
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| author | Carla L. Schuering Leonhard Wert Johanna K. R. von Mackensen Vanessa I. T. Zwaans Julius Kaemmel Roland Heck Christoph T. Starck Jörg Kempfert Stephan Jacobs Volkmar Falk Alaa Abd El Al |
| author_facet | Carla L. Schuering Leonhard Wert Johanna K. R. von Mackensen Vanessa I. T. Zwaans Julius Kaemmel Roland Heck Christoph T. Starck Jörg Kempfert Stephan Jacobs Volkmar Falk Alaa Abd El Al |
| author_sort | Carla L. Schuering |
| collection | DOAJ |
| description | Abstract Background Hybrid coronary revascularisation benefits patients with multivessel disease, as it amalgamates the minimally invasive direct coronary artery bypass (MIDCAB) procedure and percutaneous coronary intervention (PCI). Case summary We present a 63-year-old female with triple-vessel coronary artery disease including marked ostial stenosis of the left main coronary artery, as well as moderate stenosis of the right coronary artery. The risk of death following heart surgery (EuroSCORE II) is 4.27%. The patient exhibited multiple morbidities including chronic obstructive pulmonary disease, renal impairment, extracardiac arteriopathy, and multiple prior gastrointestinal surgeries, as well as a recent episode of paroxysmal atrial fibrillation. A MIDCAB procedure without electrocoagulation was stipulated by the ENT specialist due to the patient’s cochlear implant. Conclusion A successful MIDCAB procedure omitting electrocoagulation was performed for the first time for multivessel coronary disease in a multimorbid patient as part of a hybrid approach. |
| format | Article |
| id | doaj-art-abcbbefdc3394768815f106ddb052344 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-abcbbefdc3394768815f106ddb0523442025-01-26T12:51:54ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011510.1186/s13019-024-03203-xElectrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case reportCarla L. Schuering0Leonhard Wert1Johanna K. R. von Mackensen2Vanessa I. T. Zwaans3Julius Kaemmel4Roland Heck5Christoph T. Starck6Jörg Kempfert7Stephan Jacobs8Volkmar Falk9Alaa Abd El Al10Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC)Abstract Background Hybrid coronary revascularisation benefits patients with multivessel disease, as it amalgamates the minimally invasive direct coronary artery bypass (MIDCAB) procedure and percutaneous coronary intervention (PCI). Case summary We present a 63-year-old female with triple-vessel coronary artery disease including marked ostial stenosis of the left main coronary artery, as well as moderate stenosis of the right coronary artery. The risk of death following heart surgery (EuroSCORE II) is 4.27%. The patient exhibited multiple morbidities including chronic obstructive pulmonary disease, renal impairment, extracardiac arteriopathy, and multiple prior gastrointestinal surgeries, as well as a recent episode of paroxysmal atrial fibrillation. A MIDCAB procedure without electrocoagulation was stipulated by the ENT specialist due to the patient’s cochlear implant. Conclusion A successful MIDCAB procedure omitting electrocoagulation was performed for the first time for multivessel coronary disease in a multimorbid patient as part of a hybrid approach.https://doi.org/10.1186/s13019-024-03203-x |
| spellingShingle | Carla L. Schuering Leonhard Wert Johanna K. R. von Mackensen Vanessa I. T. Zwaans Julius Kaemmel Roland Heck Christoph T. Starck Jörg Kempfert Stephan Jacobs Volkmar Falk Alaa Abd El Al Electrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case report Journal of Cardiothoracic Surgery |
| title | Electrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case report |
| title_full | Electrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case report |
| title_fullStr | Electrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case report |
| title_full_unstemmed | Electrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case report |
| title_short | Electrocoagulation-free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation – a case report |
| title_sort | electrocoagulation free strategy in minimally invasive direct coronary artery bypass with hybrid revascularisation a case report |
| url | https://doi.org/10.1186/s13019-024-03203-x |
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