Minimally invasive direct coronary artery bypass using H graft for pleural symphysis.
In November 1995, video-assisted minimally invasive direct coronary artery bypass procedure, which is defined as a combination of the thoracoscopic internal mammary artery (IMA) harvest and direct coronary bypass grafting, was introduced for patients who need minimally invasive direct coronary artery bypass (MIDCAB) using IMA. In the thoracoscopic IMA harvest, the pleural adhesions or symphysis present an obstacle. We present a case where a redo patient who had complete pleural symphysis of left chest cavity precluded the thoracoscopic IMA harvest, and MIDCAB with the H graft procedure was performed.
Department of Cardiac Surgery, The Christ Hospital and University of Cincinnati, Ohio, USA.
K
K
Miyaji
R K
RK
Wolf
J B
JB
Flege
D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000379:methods*; D004724:Endoscopy; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010995:Pleural Diseases; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D000267:Tissue Adhesions; D014741:Video Recording