scholarly journals Temporary Epicardial Pacing Wire Migration into the Right Heart, 10 Months after Coronary Artery Bypass Surgery

2020 ◽  
Vol 23 (2) ◽  
pp. E168-E170
Author(s):  
Sungjoon Park ◽  
Jaehoon LEE ◽  
Young-Sup Byun ◽  
In Hyun Jung ◽  
Euysuk Chung
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Migration Process ◽  
Right Heart ◽  
Epicardial Pacing ◽  
The Right

Migrations of retained temporary epicardial pacing wires (TEPWs) are rare and critical complications of cardiac surgery. A 73-year-old man who had received coronary artery bypass graft (CABG) with retained TEPW 10 months previously visited the outpatient clinic. In routine echocardiography, we observed an artificial structure in the right heart. We performed computed tomography (CT), identified TEPW in the right heart, confirmed the TEPW migration process by comparing it with previous CTs, and removed it via catheter intervention. We report this rare case because we identified TEPW in the heart, determined its migration process, and removed it without complications.

MDCT evaluation of the right gastroepiploic artery prior to coronary artery bypass surgery

2008 ◽  
Vol 123 (2) ◽  
pp. 170-171 ◽  
Author(s):  
Keiwa Kin ◽  
Sei Komatsu ◽  
Masayuki Sakaki ◽  
Yuichi Sato ◽  
Stephan Achenbach ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Gastroepiploic Artery ◽  
Right Gastroepiploic Artery ◽  
The Right

Robotically Assisted Coronary Endarterectomy

2011 ◽  
Vol 6 (6) ◽  
pp. 391-394 ◽  
Author(s):  
Murtaza Y. Dawood ◽  
Eric J. Lehr ◽  
Andreas de Biasi ◽  
Reyaz Haque ◽  
Alina Grigore ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Balloon Catheter ◽  
Coronary Endarterectomy ◽  
Internal Mammary ◽  
The Right

Robotic assistance has enabled coronary artery bypass surgery to be performed safely in a completely endoscopic fashion, but diffusely diseased target vessels may pose a technical challenge. We present a case in which coronary endarterectomy was performed on the left anterior descending coronary artery during a two-vessel totally endoscopic coronary artery bypass procedure. A 52-year-old woman presented with intermittent substernal pain. Preoperative studies showed diffuse disease in the left coronary artery system. Bilateral internal mammary arteries were harvested robotically using a skeletonized technique in a completely endoscopic fashion. Cardiopulmonary bypass was achieved via peripheral cannulation, and the heart was arrested with intermittent cold antegrade hyperkalemic blood cardioplegia delivered via an ascending aortic occlusion balloon catheter. The first obtuse marginal anastomosis was performed. The left anterior descending coronary artery was diffusely diseased and heavily calcified. An end-to-side anastomosis was attempted to the right internal mammary artery with unsatisfactory results. A localized coronary endarterectomy was performed, and an extended anastomosis was completed using the right internal mammary artery. The patient recovered uneventfully and was discharged home on postoperative day 6. Diffuse coronary artery disease was once thought to be a prohibitive challenge for minimally invasive coronary bypass procedures. This case demonstrates that local coronary endarterectomy is feasible and safe in robotic totally endoscopic coronary artery bypass surgery.

scholarly journals Performance of EuroSCORE II and logistic EuroSCORE in Bangladeshi population undergoing off-pump coronary artery bypass surgery: A prospective cohort study

2019 ◽  
Vol 8 ◽  
pp. 204800401986212 ◽  
Author(s):  
Redoy Ranjan ◽  
Dipannita Adhikary ◽  
Sabita Mandal ◽  
Sanjoy Kumar Saha ◽  
Kamrul Hasan ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Brier Score ◽  
Artery Bypass Graft ◽  
Logistic Euroscore

Introduction European System for Cardiac Operative Risk Evaluation (EuroSCORE) was developed to identify patients who may have a greater postoperative risk for adverse effects following adult cardiac surgery. This study evaluated the discriminatory potential of using the EuroSCORE system in predicting the early, as well as late, postoperative outcomes following coronary artery bypass graft surgery in Bangladesh. Methods A total of 865 patients who underwent isolated coronary artery bypass graft surgery were evaluated with the EuroSCORE risk scoring system. Moreover, we also compared the discriminatory potentials between the EuroSCORE II and the original logistic EuroSCORE. Results Operative mortality was best predicted by EuroSCORE II (area under the curve (AUC) 0.863, Brier score 0.030) compared to the original logistic EuroSCORE (AUC 0.849, Brier score 0.033). However, the overall expected-to-observed mortality ratio for EuroSCORE II was 1.1, whereas the observed ratio for the original logistic EuroSCORE was 1.7. EuroSCORE II was predictive of an intensive care unit stay of five days or more (AUC 0.786), prolonged inotropes use (AUC 0.746), stroke (AUC 0.646), de novo dialysis (AUC 0.810), and low output syndrome (AUC 0.715). Moreover, a high EuroSCORE II quintile significantly predicted the risk for late mortality (p < 0.0001). Conclusions EuroSCORE has an important role in predicting the early, as well as late, postoperative outcomes following coronary artery bypass surgery. However, the performance of EuroSCORE II is significantly better than the original logistic EuroSCORE in predicting postoperative morbidity and mortality after isolated coronary artery bypass graft surgery among Bangladeshi patients.

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