Abstract：
:The preservation of pleural integrity during mammary artery harvesting may decrease atelectasis and pleural effusion during the postoperative period. We designed this retrospective study to evaluate the effects on postoperative pulmonary function of pleural integrity versus opened pleura, in patients who receive a left internal mammary artery graft. The study group consisted of 1141 patients who underwent elective coronary artery bypass grafting. The patients were retrospectively evaluated and divided into 2 groups: those who underwent internal mammary artery harvesting with opened pleura (n=873) or with pleural integrity (n=268). To monitor pleural effusion and atelectasis, chest radiography was performed routinely 1 day before operation and on the 2nd, 5th, and 7th postoperative days. The preoperative, after extubation, and 1st postoperative day values of partial oxygen pressure (PaO2), partial carbon dioxide pressure (PaCO2), and oxygen (O2) saturation were recorded for comparison, as was the hematocrit. The mean age of the patients was 574 +/- 8.81 years. There were no significant differences between the groups in mean values of PaO2, PaCO2, O2 saturation, and hematocrit after extubation or on the 1st postoperative day. Atelectasis on the 5th and 7th postoperative days, pleural effusion on the 2nd, 5th, and 7th days, and postoperative bleeding were significantly less in the group with preserved pleural integrity. We showed that preservation of pleural integrity during internal mammary artery harvesting decreases postoperative bleeding, pleural effusion, and atelectasis. We conclude that preservation of pleural integrity, when possible, can decrease these postoperative complications of coronary artery bypass grafting.
journal_name
Tex Heart Inst Jjournal_title
Texas Heart Institute journalauthors
Iyem H,Islamoglu F,Yagdi T,Sargin M,Berber O,Hamulu A,Buket S,Durmaz Isubject
Has Abstractpub_date
2006-01-01 00:00:00pages
116-21issue
2eissn
0730-2347issn
1526-6702journal_volume
33pub_type
杂志文章abstract：:The indications for transcatheter aortic valve implantation have been increasing with the development of new-generation valves and delivery systems. Our patient, an 81-year-old man with aortic stenosis, had an existing coronary artery bypass graft and bilateral aortoiliac bypass grafts. We used the transfemoral approa...
journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：1993-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：2009-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1982-06-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2008-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
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pub_type： 杂志文章
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：10.14503/THIJ-14-4249
更新日期：2015-12-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2018-06-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章,评审
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更新日期：2013-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：2002-01-01 00:00:00
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pub_type： 杂志文章
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
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pub_type： 传,历史文章,杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：1995-01-01 00:00:00
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
