title: [MIDCAB (minimally invasive direct coronary artery bypass) using mini-CABG instruments: a case report].
abstract: A 61-year-old man with unstable angina due to complete occlusion of the proximal LAD underwent MIDCAB (left internal thoracic artery (ITA)-left anterior descending artery (LAD) anastomosis), because of active hepatitis and unsuccessful PTCA. The left fourth intercostal mini-thoracotomy (9 cm long) was performed. The left ITA was harvested through the thoracotomy. The left ITA to LAD anastomosis under the beating heart was successfully performed using Mini-CABG instruments (USSC). Postoperative recovery was uneventful and postoperative coronary angiography on the 5th postoperative day revealed a widely patent graft. The patient was discharged on the 8th postoperative day. This device was very useful to perform the MIDCAB procedure.
authors.affiliation: Department of Surgery III, Nara Medical University, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kawata
authors.forename: S
authors.initials: S
authors.lastname: Kitamura
authors.forename: S
authors.initials: S
authors.lastname: Taniguchi
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: K
authors.initials: K
authors.lastname: Mizuguchi
authors.forename: T
authors.initials: T
authors.lastname: Abe
mesh_terms: D000789:Angina, Unstable / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D013908:Thoracotomy