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Master Thesis

Suivi à moyen terme des pontages aorto-coronariens totalement endoscopiques au C.H.U. de Bordeaux

Abstract : Surgical revascularization of the coronary arteries, historical reference treatment of the enhanced coronary atherosclerosis, has seen its indications be reduced to complex multivessel lesions. It is now possible to offer to patients to perform Totally Endoscopic Coronary Artery Bypass (TECAB), with the da Vinci® system. After have layed atherosclerosis physiopathological foundations, talked about the surgical indications and presented the different existing therapeutic surgical possibilities, we expose the evaluation of totally endoscopic coronary artery bypass graftings at the University hospitals of Bordeaux. This work was based on a study in which all consecutively operated patients by TECAB of Left Internal Mammary Artery (LIMA) on Left Anterior Descending (LAD) from September 2010 to April 2013 have been included. We were searching to evaluate, at midterm, the patency of the grafts with the coroscanner and the stress myocardial perfusion scintigraphy, and physic and mental health with the SF-36 general health status survey and a no leading questions consultation. We have also evaluated the characteristics of the surgical procedure. The coroscanners have found all the grafts patent. Stress myocardial perfusion scintigraphies were negative for 15 patients (75 %) and positive for 5 others (25 %). The aggregated average scores of physic and mental health obtained by the SF-36 general health status survey were respectively 70,79 and 70,53. The no leading questions consultation has highlighted 62 % of satisfaction, 37 % of dissatisfaction and 1 % of non-involvement. After discharge of the hospital post-operative principal complications were parietal and painful. TECAB stay patent. Patients physic and mental health is globally good. We must carry on development of this surgery by improving its characteristics.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01425337
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, January 3, 2017 - 3:12:56 PM
Last modification on : Wednesday, August 23, 2017 - 4:29:03 PM
Long-term archiving on: : Tuesday, April 4, 2017 - 1:56:47 PM

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  • HAL Id : dumas-01425337, version 1

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Almicar Di-Geronimo. Suivi à moyen terme des pontages aorto-coronariens totalement endoscopiques au C.H.U. de Bordeaux . Médecine humaine et pathologie. 2016. ⟨dumas-01425337⟩

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