title: Double-vessel revascularization using a composite graft approached from small left thoracotomy.
abstract: Minimally invasive direct coronary artery bypass usually includes single vessel revascularization via a small skin incision. In most cases, the left internal mammary artery has been used for bypassing to the left anterior descending artery, and only single vessel revascularization used to be performed due to the limited operating field. We present 2 cases of successful double-vessel revascularization approached from a left small thoracotomy, using a composite graft of the internal mammary artery and the inferior epigastric artery, anastomosing to the left anterior descending artery and diagonal artery.
authors.affiliation: Department of Cardiovascular Surgery, Kobari General Hospital, 29-1 Yokouchi, Noda City 278-8501, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Takahashi
authors.forename: A
authors.initials: A
authors.lastname: Amano
authors.forename: H
authors.initials: H
authors.lastname: Hirose
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery; D019074:Epigastric Arteries / Q000637:transplantation; D005260:Female; D006801:Humans; D008323:Mammary Arteries / Q000637:transplantation; D019060:Minimally Invasive Surgical Procedures; D009204:Myocardial Revascularization; D013908:Thoracotomy