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Injerto de revascularización coronaria directa mínimamente invasivo; MIDCAB; Revascularización coronaria asistida por robot; RACAB; Cirugía mínimamente invasiva o cirugía con cicatriz mínima
La recuperación de la cirugía toma tiempo y es posible que usted no pueda ver los beneficios totales del procedimiento durante 3 a 6 meses. En la mayoría de las personas que tienen cirugía de revascularización coronaria, los injertos permanecen abiertos y trabajan bien durante muchos años.
Esta cirugía no impide la reaparición de un bloqueo de la arteria coronaria; sin embargo, usted puede tomar muchas medidas para reducir esto. El hecho de no fumar, consumir una dieta cardiosaludable, hacer ejercicio de manera regular y tratar la hipertensión arterial, la hiperglucemia (si padece diabetes) y el colesterol alto ayudarán.
Usted puede ser más propenso a experimentar problemas vasculares si tiene enfermedad renal o algunos otros problemas de salud.
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.
Fraker TD Jr, Fihn SD, Gibbons RJ, Abrams J, Chatterjee K, Daley J, et al. 2007 chronic angina focused update of the ACC/AHA 2002 Guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 Guidelines for the management of patients with chronic stable angina. Circulation. 2007;116(23):2762-2772.
Møller CH, Perko MJ, Lund JT, et al. 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. Epub 2010 Jan 18.
Thiele H, Neumann-Schniedewind P, Jacobs S, et al. Randomized comparison of minimally invasive direct coronary artery bypass surgery versus sirolimus-eluting stenting in isolated proximal left anterior descending coronary artery stenosis. J Am Coll Cardiol. 2009 Jun 23;53(25):2324-31.
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