Minimally invasive direct coronary artery bypass surgery.

Abstract:

:Traditional coronary artery bypass surgery involves a median sternotomy and the use of a heart-lung machine to stabilize the heart during suturing. Minimally invasive coronary artery surgery employs small incisions directly over the target vessels and avoids the use of a heart-lung machine, which can cause postoperative complications. The target coronary vessels are stabilized in alternative ways, potentially hazardous manipulation of the ascending aorta is avoided, and the subclavian and axillary arteries provide alternative inflow sources. Other new techniques used in minimally invasive procedures include a coronary artery cannula to avoid intraoperative ischemia and wound irrigation catheters to administer postoperative bupivacaine hydrochloride. Perioperative nurses need to become familiar with these new techniques to be able to plan and implement effective patient care.

journal_name

AORN J

journal_title

AORN journal

authors

Coulson AS,Bakhshay S,Quarnstrom JA,Mayer S,Holmes K,Villarreal M

doi

10.1016/s0001-2092(06)62542-8

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

1012-37; quiz 1039-42

issue

6

eissn

0001-2092

issn

1878-0369

pii

S0001-2092(06)62542-8

journal_volume

66

pub_type

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