CLINICAL CASE

MYOCARDIAL
REVASCULARIZATION
PRESENTED BY: ANGIE PRADA
 PATIENT INFORMATION
NAME: WH
HEIGHT: 174CM
WEIGHT: 95 KILOGRAMS
AGE: 39 YEARS
FEVII: 47%
BLOOD TYPE: A+
 MEDICAL HISTORY

THE PATIENT PRESENTS BLINDNESS IN THE RIGHT EYE AND A FRACTURE

OF THE TIBIA IN THE RIGHT LOWER LIMB, REDUCED BY AN EXTERNAL
TUTOR
 IMPORTANT VALUES
BODY SURFACE AREA 2.09
FLOW 5.2
HEPARIN 6.65

DIAGNOSIS
PATIENT WITH ISCHEMIC CARDIOAPTIA PRESENTING
LESIONS IN THE RIGHT CORONARY ARTERY, LESIONS IN
THE CIRCUMFLEX AND ANTERIOR DESCENDING CORONARY
ARTERIES.
CHECK LIST
SURGICAL TABLES ARRANGEMENT
 SURGICAL TECHNIQUE

THE BEGINNING IS GIVEN BY PERFORMING THE EXTRACTION OF THE GRAFT FROM THEEXTERNAL SAPHENON
VEIN OF THE LEFT LEG AND CLOSURE OF BLOOD LEAKS AN DPERMEABILITY IS PERFORMED

THE STERNOTOMY IS BEGINNING ALWAYS PRESERVINGHEMOSTASIS THE STERNAL MEDULLA IS COATED

WITH BONE WAXTO PRESERVE THE HEMOSTASIS OF THE STERNAL AND IN TURN THEGRAFT OF THE MAMMARY
ARTERY IS PREPARED

THE POINTS OF THE TOBACCO BAG OF THE AORTA AREMADE IN THE VENAS CAVA AND THE TOURNIQUETS
AREPLACED THROUGH THREADS AND LEAVE IT REPAIRED AND AFTER THIS, AN ARTERIOTOMY AND VENOTOMY
ARE PERFORMED TO PERFORM THE FIXATION OF THECORRESPONDING CANNULAS AND FIX THEM
 SURGICAL TECHNIQUE

WHEN THE HEART ENTERS THE PUMP, THESAPHENONAL GRAFT IS PLACED. IN THIS CASE, REPAIROF THE
RIGHT CORONARY ARTERY, THE ANTERIOR DESCENDING ARTERY, AND THE RIGHT CORONARY ARTERY
ANASTOMOSIS WITH THE MAMMARY ARTERY ISMADE .

PERMEABILITY AND ANASTOMOSIS ARE VERIFIED ANDTHE HEART OF THE PUMP IS REMOVED AND
THEEXTRACORPOREAL CIRCULATION CANNULAS AREREMOVED AND THE PACEMAKER WIRE AND
CHESTTUBE ARE PLACED
 BIBLOGRAPHY
HTTPS://WWW.NHLBI.NIH.GOV/ES/SALUD/CARDIOPATIA-
CORONARIA#:~:TEXT=LA%20CAUSA%20DE%20LA%20ARTERIOPAT%C3%ADA,EN%20FORMA%20PARCIAL%2
0O%20TOTAL.

HTTPS://WWW.NHLBI.NIH.GOV/ES/SALUD/CIRUGIA-DE-REVASCULARIZACION-
MIOCARDICA#:~:TEXT=LA%20CIRUG%C3%ADA%20DE%20REVASCULARIZACI%C3%B3N%20MIOC%C3%A1R
DICA%20(CRM)%2C%20TAMBI%C3%A9N%20LLAMADA%20CIRUG%C3%ADA,TIENEN%20UN%20ESTRECHAMI
ENTO%20U%20OBSTRUCCI%C3%B3N.
HTTPS://FUNDACIONDELCORAZON.COM/PREVENCION/COMO-FUNCIONA-EL-CORAZON/MAS-
DETALLES.HTML#:~:TEXT=LAS%20ARTERIAS%20CORONARIAS%20RECORREN%20LA,SON%20DOS%3A%20
DERECHA%20E%20IZQUIERDA.