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Updated: Aug 16, 2026
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
[Fast pathway for heart surgery]
S Trevethan Cravioto1, F Santibáñez, J Kuri Alfaro
1Instituto Nacional de Cardiología gnacio Chávez, INCICH, Juan Badiano No. 1, 14080 México, D.F. trevethan@cardiologia.org.mx
Insights
Implementing a fast-track surgical program for non-complex cardiac conditions at the National Institute of Cardiology resulted in zero mortality and low morbidity, proving cost-efficient compared to traditional scheduling.
Area of Science:
- Cardiology
- Cardiac Surgery
- Health Services Research
Context:
- Rising life expectancy and technological advancements increase demand for cardiac surgery.
- Institutions prioritize complex cases, postponing elective surgeries.
- Analysis conducted at the National Institute of Cardiology "Ignacio Chávez" from June 1999 to June 2000.
Purpose:
- To evaluate the efficacy and cost-efficiency of a fast-track surgical program for non-complex cardiac pathologies.
- To compare outcomes of fast-track surgeries with traditional scheduling.
- To identify the incidence of specific conditions like inter-auricular communication and Von Willebrand disease.
Summary:
- A fast-track surgical approach for non-complex cardiac cases demonstrated null mortality and low morbidity rates.
- This program proved cost-efficient when compared to standard surgical scheduling for similar pathologies.
- The study highlighted a significant prevalence of inter-auricular communication and Von Willebrand disease.
Impact:
- Supports the continuation and expansion of fast-track cardiac surgery programs.
- Provides evidence for optimizing surgical resource allocation in cardiology.
- Informs public health strategies regarding prevalent cardiac conditions in the region.
Abstract:
The increasing demographic and life expectancy rates, together with the vertiginous technological development during the last two decades, have raised the number of cardiac patients requiring surgical treatment. Therefore, several institutions have been forced to give priority to advanced or more serious cases and to postpone those that do not demand an urgent surgery. This analysis was made from June 15, 1999 to June 15, 2000 and demonstrates the results obtained from maintaining a fast track at the National Institute of Cardiology "Ignacio Chávez". This has favored the practice of surgeries in cases with noncomplex pathologies, null mortality, and low morbidity rates. The analysis also compares results from patients who had been subjected to surgery for the same type of pathologies but following the usual course of admittance and surgery scheduling, proving to be cost-efficient. It also demonstrates the high incidence of inter-auricular communication and the Von Willebrand disease that exist in our environment. Based on the results, we propose to maintain and increase this type of surgeries, addressing their limitations.
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