Minimally invasive coronary artery bypass grafting.
Minimally invasive cardiac surgery has generated a tremendous amount of enthusiasm in the cardiology and cardiac surgical communities. Coronary revascularization without cardiopulmonary bypass through a small anterior thoracotomy or mediastinotomy has been introduced as an alternative to the conventional approach. An endovascular or port-access technique for cardiopulmonary bypass and cardioplegic arrest has been developed for use in cardiac surgery. This peripherally based system achieves aortic occlusion, cardioplegia delivery, and left ventricular decompression; thus, coronary revascularization and various cardiac procedures can be effectively performed in a less invasive fashion than conventional median sternotomy. Continued technical advances in minimally invasive cardiac surgery will facilitate these procedures, increase patient safety, and contribute to acceptable long-term results.
Fann
J I
JI
Department of Cardiothoracic Surgery, Stanford University School of Medicine, CA 94305, USA.
Stevens
J H
JH
Pompili
M F
MF
Burdon
T A
TA
Reitz
B A
BA
D001026:Coronary Artery Bypass / Q000295:instrumentation*; D019723:Endoscopes; D004867:Equipment Design; D006324:Heart Arrest, Induced / Q000295:instrumentation; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D013525:Surgical Instruments; D020708:Thoracoscopes; D016896:Treatment Outcome