REVASCULARIZACIÓN MIOCÁRDICA CON AMBAS ARTERIAS MAMARIAS INTERNAS, UN RETO PARA LOS CIRUJANOS CARDIOVASCULARES ACTUALES

The left internal mammary artery is currently the most common graft in surgical myocardial revascularization. However, in spite of the works showing the effectiveness of the use of both mammary arteries, this technique remains a controversial topic in medical literature nowadays. Among the factors d...

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Published inCorSalud Vol. 1; no. 1
Main Authors Vázquez Roque, Francisco Javier, Chao García, Jean Luis, Lagomasino Hidalgo, Álvaro L, Mirabal Rodríguez, Roger
Format Journal Article
LanguageSpanish
Published Cardiocentro Ernesto Che Guevara 2009
Subjects
MYOCARDIAL REVASCULARIZATION MAMMARY ARTERIES SURGERY
REVASCULARIZACIÓN MIOCÁRDICA ARTERIAS MAMARIAS CIRUGÍA
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Summary:The left internal mammary artery is currently the most common graft in surgical myocardial revascularization. However, in spite of the works showing the effectiveness of the use of both mammary arteries, this technique remains a controversial topic in medical literature nowadays. Among the factors discouraging its use we have the good results of the myocardial revascularization with left internal mammary artery and with saphenous vein, a greater technical difficulty and a prolonged surgical time; as well as an increase in sternal complications. The advantages and disadvantages in the use of this procedure are discussed in this work, as well as the results presented by several authors. The surgical technique is also described. La arteria mamaria interna izquierda es, actualmente, el injerto más utilizado en las revascularizaciones miocárdicas quirúrgicas; sin embargo, aunque existen trabajos que demuestran la eficacia del uso de ambas arterias mamarias, esta técnica continúa siendo un tema controvertido en la literatura médica actual. Entre los factores que desestimulan su uso se encuentran los buenos resultados de la revascularización miocárdica con arteria mamaria interna izquierda y vena safena, mayor dificultad técnica y el tiempo quirúrgico prolongado; además de un incremento de las complicaciones esternales. En este trabajo se comentan las ventajas y desventajas del empleo de este tipo de procedimiento, se discuten varios resultados de diversos autores y se describe la técnica quirúrgica.
ISSN:2078-7170
2078-7170