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Cirugía de revascularización coronaria mínimamente invasiva - Risks

Nombres alternativos

Injerto de revascularización coronaria directa mínimamente invasivo; MIDCAB; Revascularización coronaria asistida por robot; RACAB; Cirugía mínimamente invasiva o cirugía con cicatriz mínima

Riesgos:

Pregúntele al médico acerca de los riesgos. En general, los problemas y complicaciones de la cirugía de revascularización coronaria mínimamente invasiva son más bajos que con la cirugía de revascularización coronaria abierta.

Los riesgos para cualquier cirugía son:

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

Los posibles riesgos de una derivación (bypass) coronaria abarcan:

  • Pérdida de memoria, pérdida de la claridad mental o "pensamiento confuso". Esto es menos común en personas que se someten a cirugía de revascularización coronaria mínimamente invasiva que en las personas que tienen la derivación (bypass) coronaria abierta.
  • Problemas del ritmo cardíaco (arritmia)
  • Infección de herida en el pecho. Esto es más probable que se presente si usted es obeso, tiene diabetes o se ha sometido a una cirugía de derivación (bypass) coronaria antes.
  • Febrícula y dolor torácico (juntos se denominan síndrome pospericardiotomía) que pueden durar hasta 6 meses
  • Reviewed last on: 6/2/2010
  • Shabir Bhimji MD, PhD, Specializing in 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.

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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