Display options
Cite
Sun H, Zhang L, Han X, et al. Effects of total thoracoscopic surgery on coronary artery fistulae complicated with ectasia. Pak J Med Sci. 2016;32(1):176-80doi: 10.12669/pjms.321.7501.
Sun, H., Zhang, L., Han, X., Wang, Z., & Xu, L. (2016). Effects of total thoracoscopic surgery on coronary artery fistulae complicated with ectasia. Pakistan journal of medical sciences, 32(1), 176-80. https://doi.org/10.12669/pjms.321.7501
Sun, Hongbin, et al. "Effects of total thoracoscopic surgery on coronary artery fistulae complicated with ectasia." Pakistan journal of medical sciences vol. 32,1 (2016): 176-80. doi: https://doi.org/10.12669/pjms.321.7501
Sun H, Zhang L, Han X, Wang Z, Xu L. Effects of total thoracoscopic surgery on coronary artery fistulae complicated with ectasia. Pak J Med Sci. 2016 Jan-Feb;32(1):176-80. doi: 10.12669/pjms.321.7501. PMID: 27022370; PMCID: PMC4795862.
Copy Download .nbib Format: NLM
Share it on

Pak J Med Sci. 2016 Jan-Feb;32(1):176-80. doi: 10.12669/pjms.321.7501.

Effects of total thoracoscopic surgery on coronary artery fistulae complicated with ectasia.

Pakistan journal of medical sciences

Hongbin Sun, Liping Zhang, Xiuli Han, Zhongyu Wang, Lei Xu

Affiliations

  1. Hongbin Sun, Department of Thoracic Surgery, China-Japan Union Hospital of Jilin University, Changchun 130031, Jilin Province, PR China.
  2. Liping Zhang, Department of Thoracic Surgery, China-Japan Union Hospital of Jilin University, Changchun 130031, Jilin Province, PR China.
  3. Xiuli Han, Qianwei Hospital of Jilin Province, Changchun 130012, Jilin Province, PR China.
  4. Zhongyu Wang, Department of Cardiology, China-Japan Union Hospital of Jilin University, Changchun 130031, Jilin Province, PR China.
  5. Lei Xu, Department of Thoracic Surgery, 208th Hospital of People's Liberation Army Chinese, Changchun 130000, Jilin Province, PR China.

PMID: 27022370 PMCID: PMC4795862 DOI: 10.12669/pjms.321.7501

Abstract

OBJECTIVE: To compare the effects of thoracotomy and total thoracoscopic surgery on coronary artery fistulae complicated with ectasia.

METHODS: Forty-six patients with coronary artery fistulae complicated with ectasia were randomly divided into a treatment group and a control group (n=23) which were given totally thoracoscopic surgery and thoracotomy respectively. Both groups were followed up.

RESULTS: All patients survived the surgeries and were discharged from the hospital. The treatment group had significantly less intraoperative blood loss, earlier postoperative ambulation and shorter postoperative hospitalization stay more than those of the control group (P<0.05). The two groups had similar plasm cortisol and adrenocorticotropic hormone levels one day before and after surgery. These levels peaked on the postoperative 3rd day, but those of the treatment group were significantly lower (P<0.05). The two groups had similar left and right atrial diameters as well as left ventricular ejection fractions (LVEFs) before surgery, but the treatment group had significantly higher postoperative LVEF (P<0.05) as well as significantly smaller left and right atrial diameters in the postoperative 1st and 3rd months (P<0.05). The treatment group was significantly less prone to postoperative complications such as chest pain, atelectasis and pulmonary infection than the control group (P<0.05).

CONCLUSION: Total thoracoscopic surgery promoted the recovery of coronary artery fistulae complicated with ectasia, improved cardiac remodeling and cardiac function, and alleviated stress reaction, with well-proved safety.

Keywords: Complication; Coronary artery ectasia; Coronary artery fistula; Stress reaction; Thoracoscopy

References

  1. J Invasive Cardiol. 2007 May;19(5):E146-9 - PubMed
  2. Coron Artery Dis. 2008 Feb;19(1):43-5 - PubMed
  3. Interact Cardiovasc Thorac Surg. 2008 Oct;7(5):933-4 - PubMed
  4. Clin Cardiol. 2009 Sep;32(9):506-12 - PubMed
  5. Curr Probl Cardiol. 2010 Feb;35(2):72-115 - PubMed
  6. J Vis Exp. 2010 Apr 21;(38):null - PubMed
  7. Tex Heart Inst J. 2011;38(3):310-1 - PubMed
  8. Pediatr Cardiol. 2011 Dec;32(8):1251-2 - PubMed
  9. J Am Coll Cardiol. 2012 Aug 7;60(6):559 - PubMed
  10. Semin Dial. 2013 Mar-Apr;26(2):E13-6 - PubMed
  11. JACC Cardiovasc Interv. 2013 Jan;6(1):e3-4 - PubMed
  12. J Card Surg. 2013 May;28(3):222-7 - PubMed
  13. Kardiol Pol. 2013;71(6):595-9 - PubMed
  14. Zhonghua Yi Xue Za Zhi. 2013 Jun 25;93(24):1918-20 - PubMed
  15. Ann Thorac Surg. 2014 Feb;97(2):484-90 - PubMed
  16. Innovations (Phila). 2013 Nov-Dec;8(6):420-6 - PubMed
  17. Am J Cardiol. 2014 Mar 1;113(5):840-4 - PubMed
  18. Can J Cardiol. 2014 Apr;30(4):464.e9-11 - PubMed
  19. Am J Cardiol. 2014 Jul 1;114(1):111-6 - PubMed
  20. Heart Lung Circ. 2014 Sep;23(9):e181-3 - PubMed
  21. Ann Thorac Surg. 2014 Oct;98(4):1207-12 - PubMed

Publication Types