Minimally invasive port-access coronary artery bypass grafting.
The Port-Access endovascular cardiopulmonary bypass system (Heartport, Inc., Redwood City, CA, USA), a recent technological innovation in minimally invasive cardiac surgery, was conducted successfully in coronary artery bypass grafting on a 69-year-old woman. The left internal thoracic artery was harvested through a limited left anterior thoracotomy and anastomosed to the left anterior descending coronary artery on a protected and arrested heart. Intraoperative coronary angiography confirmed good graft patency. The patient was discharged from the hospital in good condition 7 days after the operation. This was the first successful minimally invasive Port-Access coronary artery bypass grafting in Japan.
Division of Cardiovascular Surgery, Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
H
H
Shin
R
R
Yozu
T
T
Maehara
T
T
Matayoshi
I
I
Kashima
Y
Y
Iino
T
T
Yamada
J
J
Takeda
S
S
Kawada
D000368:Aged; D002315:Cardiopulmonary Bypass / Q000295:instrumentation / Q000379:methods; D002407:Catheterization, Swan-Ganz / Q000295:instrumentation / Q000379:methods; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006324:Heart Arrest, Induced; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D015641:Radiography, Interventional; D013895:Thoracic Arteries / Q000637:transplantation; D013908:Thoracotomy / Q000379:methods*; D018084:Ultrasonography, Interventional; D014654:Vascular Patency