TWO-VESSEL MYOCARDIAL REVASCULARIZATION

LAURA CAMILA ROA

SARA OJEDA

SURGICAL
INSTRUMENTATION

https://www.nhlbi.nih.gov/sites/default/files/inline-images/heart%20bypass%20surgery_spanish.jpg
 Two-vessel myocardial revascularization

Patient’s Data:
Name: DARIO SALVADOR PICO DUARTE
ID: 4058981
Age: 65
Sex: MALE
Birthdate: 4/5/1960
Civil status: MARRIED
Blood type: O+
Address: BARBOSA
Occupation: DIRECTOR OF A SCHOOL
 DIAGNOSTIC EXAMS
CORONARY ARTERIOGRAPHY WITH LEFT CATHETERISM

RESULTS
INDICATION: Severe coronary
disease
BACKGROUND: High blood
pressure, pneumonia and
before smoker
 RECORD
Pathological: Atherosclerotic heart

Surgical: It doesn’t apply

https://clinicalamagdalena.com/historia-clinica/
DIAGNOSTIC EXAMS
Catheterization (Left coronary, circumflex and permeable intermediate
branches, anterior descending and right coronary obstructed proximal to
100%).

Urine partial (normal)

Blood test (normal)

Echocardiogram (Hypertrophy and dilation of the left ventricle and

hypokinesia in the anterior and septal wall and severe mitral
insufficiency but function).

Electrocardiogram (Sinus rhythm, inferior necrosis and left ventricular

hypertrophy)
 Surgical Foundation (What will be done in Surgery)

Myocardial bypass surgery (MRS), also called coronary bypass surgery, is a

medical procedure to improve blood flow to the heart. It may be needed when the
arteries that supply blood to the heart tissue, called coronary arteries, are
narrowed or blocked.

CRM uses healthy blood vessels from another part of the body and connects them
to blood vessels proximal and distal to the blocked artery. This creates a new
route for blood to flow, which bypasses the clogged or occluded coronary artery.
Blood vessels are usually arteries in the arm or chest, or veins in the legs.
 PATIENT PREPARATION AND TABLES
Type of washing: total with alcohol and isopropyl alcohol

Type of anesthesia: General

Position: supine decubitus

Type of dressed
CHECK LIST

36
MAY SURGICAL TABLE
 RESERVATION SURGICAL TABLE

1. Extracorporea basket 1 2. Compreses 3. Gauze container 4. Aseptojeringe 5. Coca with saline solution 6.
League 100 clips 7. EOPA cannula 8. Single venous cannula 9. Tourniquets 10. 10cc gyringe with saline solution
11. sutures 12. Bottle with nitroprussine 13. coca 14. league 200 clips 15. cardioplegia cannula 16. Long nay
scissors 17. Aortic clamp 18. microscapel 19. Aortic punch 20. castroviejo needle holder 21. fine hook 22. fine
vascular dissections 23. needle holder 24. skin disection forceps 25. swabs 26. buldog clamps 27. hypodermic
needles 28, connectors 29. short needle holders 30. garter clips 31. Lister’s scissors 32. wire holder and wire
cutter 33. elastic bandage 34. nelaton ·8 35. coronary team 36. breast separador 37. sternal separator 38.
stirile gloves 39. reciprocanting saw 40. clothing package
SURGICAL PROCESS
SURGICAL PROCESS
SURGICAL PROCESS
GRACIAS