Abstract：Objective To explore application and clinical mid-term effect of one-stop hybrid technique on coronary artery bypass graft surgery (CABG).Methods An retrospective analysis and follow-up were performed for a total of 7 patients with multivessel coronary disease treated by one-stop hybrid surgery in Department of Cardiovascular Surgery(I) of the First Affiliated Hospital of Anhui Medical University from May 2013 to May 2014. All surgeries were completed by the same doctors. The inclusion criteria for all patients were worse disease of anterior descending not suitable for stent implantations and non-anterior descending disease suitable for stent implantations. There were 6 male patients and 1 female patient with the age from 54 to 77 years. The scores of SYNTAX were from 27 to 36. The condition of left main coronary of patients was normal, meanwhile, proximal or multi-stenosis larger than 85% of left anterior descending were found in 5 patients and proximal occlusion was found in the other 2 patients; 1-2 restricted stenosis lesions were found in both circumflex branch and right coronary artery. All of patients had the past history of old myocardial infarction, three of whom complicated with diabetes mellitus, with 56%-65% of ejection fraction, the mean value was 57.13%.Results No deaths were found after surgeries. The angiographies of coronary and internal mammary artery were performed immediately after surgeries and all stomas were kept unobstructed. No symptoms of angina in survival patients were found after a follow-up of 1-12 months. No new cases of myocardial infarction were observed by the electrocardiogram after surgeries.Conclusions One-stop hybrid technique is suitably applied to patients who are not applicable to stent implantations with anterior descending artery disease and applicable to stent implantations with multivessels coronary disease. Patients can share actual benefits through individual micro-invasive surgeries.
张成鑫,葛圣林,林先和,张士兵,何维来,李峰,郭志祥,冯俊波,车轰. “一站式” Hybrid手术治疗冠状动脉多支病变的初步体会[J]. 中华解剖与临床杂志, 2014, 19(5): 415-418.
Zhang Chengxin, Ge Shenglin, Lin Xianhe, Zhang Shibin, He Weilai, Li Feng, Guo Zhixiang, Feng Junbo, Che Hong. Preliminary experience of "one-stop" Hybrid operation in treatment of multivessel coronary artery disease. Chinese Journal of Anatomy and Clinics, 2014, 19(5): 415-418.
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2014, Vol. 19 
