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Cirugía de revascularización coronaria - Risks

Nombres alternativos

Revascularización coronaria sin circulación extracorpórea; OPCAB; Cirugía con el corazón latiendo; Cirugía de revascularización cardíaca; CABG; Injertos de revascularización coronaria; Cirugía de injerto de revascularización coronaria; Cirugía de bypass coronario

Riesgos:

Los riesgos de cualquier cirugía son:

  • Coágulos de sangre en las piernas que pueden viajar a los pulmones.
  • Problemas respiratorios.
  • Infección, incluyendo los pulmones, las vías urinarias y el tórax.
  • Pérdida de sangre.

Los posibles riesgos de someterse a una cirugía de revascularización coronaria abarcan:

  • Infección de la herida en el pecho, que es más probable que suceda si usted es obeso, tiene diabetes o ya le han realizado esta cirugía antes.
  • Ataque cardíaco o accidente cerebrovascular.
  • Problemas del ritmo cardíaco.
  • Insuficiencia pulmonar o renal.
  • Febrícula y dolor torácico, juntos denominados síndrome pospericardiotomía, los cuales pueden durar hasta 6 meses.
  • Pérdida de memoria, pérdida de claridad mental o "pensamiento confuso".
  • Reviewed last on: 5/6/2011
  • Shabir Bhimji MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Ferraris VA, Mentzer RM Jr. Acquired heart disease: coronary insufficiency. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 61.

Morrow DA, Boden WE. Stable ischemic heart disease. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 57.

Hannan EL, Wu C, Walford G, Culliford AT, Gold JP, Smith CR, et al. Drug-eluting stents vs. coronary-artery bypass grafting in multivessel coronary disease. N Engl J Med. 2008;358:331-341.

Møller CH, Perko MJ, Lund JT, Andersen LW, Kelbaek H, Madsen JK, Winkel P, Gluud C, Steinbrüchel DA. No major differences in 30-day outcomes in high-risk patients randomized to off-pump versus on-pump coronary bypass surgery: the best bypass surgery trial. Circulation. 2010 Feb 2;121(4):498-504.

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