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    The patient, a 63-year-old man, presented multiple damages to his coronary arteries according to a coronary angiography. He was diagnosed with severe lesions in the right coronary artery and circumflex artery, as well as critical lesions in the left coronary artery and anterior descending artery. The surgical procedure performed was a coronary revascularization using saphenous vein and mammary artery grafts to repair the damaged arteries.

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    Presentation 2

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    The patient, a 63-year-old man, presented multiple damages to his coronary arteries according to a coronary angiography. He was diagnosed with severe lesions in the right coronary artery and circumflex artery, as well as critical lesions in the left coronary artery and anterior descending artery. The surgical procedure performed was a coronary revascularization using saphenous vein and mammary artery grafts to repair the damaged arteries.

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    The patient, a 63-year-old man, presented multiple damages to his coronary arteries according to a coronary angiography. He was diagnosed with severe lesions in the right coronary artery and circumflex artery, as well as critical lesions in the left coronary artery and anterior descending artery. The surgical procedure performed was a coronary revascularization using saphenous vein and mammary artery grafts to repair the damaged arteries.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    40 views11 pages

    Presentation 2

    Uploaded by

    api-658511625
    The patient, a 63-year-old man, presented multiple damages to his coronary arteries according to a coronary angiography. He was diagnosed with severe lesions in the right coronary artery and circumflex artery, as well as critical lesions in the left coronary artery and anterior descending artery. The surgical procedure performed was a coronary revascularization using saphenous vein and mammary artery grafts to repair the damaged arteries.

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    of 11

    CORONARY

    REVASCULARIZATION
    By: DAVID JONES PARDO
    01200021024
    PRIMARY PATIENT
    INFORMATION
    • NAME: CHARLIE 
    • AGE: 63 YEARS OLD
    • HEIGHT: 170 CM
    • WEIGHT: 82 KG
    • FEVI: 57%
    • TYPE OF BLOOD: O+
    • VIH (-), HEPATITIS (-) COVID (-)
    ANATOMY
    PATHOLOGY
    • THE PATIENT PRESENTED
    MULTIPLE DAMAGES TO THE
    CORONARY ARTERIES ACCORDING
    TO THE STUDY CARRIED OUT WITH
    CORONARY ARTERIOGRAPHY WITH
    ANGIOGRAPHY
    DIAGNOSIS
    • RIGHT CORONARY: SEVERE LESION IN THE MIDDLE SEGMENT 
    • CIRCUMFLEX: MEDIUM SIZE AND CALIBER ARETIES WITH CIRCUMFLEX
    TRUNK LESION
    • LEFT CORONARY: OSTIUM AN TRUNK WITH CRITICAL DISTAL LESION
    • ANTERIOR DESCENDING ARTERY TYPE II WITH LONG PROXIMAL LESION,
    DIAGONAL WITH SEVERE LESION 
    SAPHENONAL AND MAMMARY
    GRAFT
    CHECK LIST

    -OCTOPUS
    -STARFISH
    TABLE ARRANGEMENTS AND
    SUPPLIES
    IMPORTANT
    DATABODY SURFACE:
    1,92
    BLOOD FLOW : 4,80
    HEPARIN UNITS: 5.6
    SURGICAL PROCEDURE 
    -THE BEGINNING IS GIVEN BY PERFORMING THEEXTRACTION
    OF THE GRAFT FROM THE EXTERNALSAPHENON VEIN OF THE
    LEFT LEG AND CLOSURE OFBLOOD LEAKS AND PERMEABILITY
    IS PERFORMED

    -THE STERNOTOMY IS BEGINNING


    ALWAYSPRESERVINGHEMOSTASIS THE STERNAL MEDULLA IS
    COATED BONE WAX TO PRESERVE THE HEMOSTASIS OF
    THESTERNAL ANDIN TURN THE GRAFT OF THE
    MAMMARYARTERY 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 REPAIREDAND AFTER THIS,
    AN ARTERIOTOMY AND VENOTOMY AREPERFORMED TO
    PERFORM THE FIXATION OF THECORRESPONDING CANNULAS
    AND FIX THEM
    -WHEN THE HEART ENTERS THE PUMP, THE
    SAPHENONALGRAFT IS PLACED. IN THIS CASE, REPAIR OF
    THE RIGHTCORONARY ARTERY, THE POSTERIOR
    DESCENDINGARTERY, AND THE RIGHT CORONARY
    ARTERYANASTOMOSIS OF THE MAMMARY ARTERY IS
    MADE INTHE CIRCUMFLEX ARTERY

    -THE CORONARY ARTERIES AND THEIR RESPECTIVE


    BRANCHES ARE REPAIRED WITH THE GRAFTS REMOVED
    BIBLIOGRAPHY
    • Cinfa.com. [citado el 02 de ABRIL de 2023]. Disponible en:
    https://cdn-cinfasalud.cinfa.com/wp-content/uploads/2019/05/CinfaSalud-tabaquismo-600.jp
    g?x92550
    • Redirect notice [Internet]. Google.com. [citado el 02 de ABRIL de 2023]. Disponible en:
    https://www.google.com/url?sa=i&url=https%3A%2F%2Fmedicicor.com.br%2Fproduto%2
    Foctopus%2F&psig=AOvVaw3ns27SnK86xQnQ0T0gVejC&ust=1679867004364000&sour
    ce=images&cd=vfe&ved=0CA8QjRxqFwoTCJDdwbKG-P0CFQAAAAAdAAAAABAI
    • Alamy Limited. Arteria mamaria interna fotografías e imágenes de alta resolución [Internet].
    Alamy. [citado el 02 de ABRIL de 2023]. Disponible en:
    https://www.alamy.es/imagenes/arteria-mamaria-interna.html?sortBy=relevant
    • Ugalde H, Ramírez A, Dussaillant G, Ayala F, García S, Silva AM, et al. Coronary
    angiography: indications, results and complications in 5.000 consecutive patients. Rev Med
    Chil [Internet]. 2007 [citado el 02 de ABRIL de 2023];135(7):829–38. Disponible en:
    https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000700002  

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