Port access video-assisted proximal anastomosis with the symmetry aortic connector in MIDCABG procedure.
We present an alternative way to create a video-assisted port access proximal anastomosis in the ascending aorta with the Symmetry Bypass System Aortic Connector (St. Jude Medical ATG, St. Paul, MN). This technique was successfully used in a patient undergoing urgent minimally invasive direct coronary artery bypass grafting (MIDCABG), in whom the left internal mammary artery was not harvested owing to subtotal occlusion of the left subclavian artery. Port access use of mechanical anastomotic devices may increase the indications for minimally invasive coronary artery surgery.
Semrad
Michal
M
Department of Cardiovascular Surgery, Charles University Teaching Hospital, 1st Medical Faculty, Prague, Czech Republic. semrad@post.cz
Stritesky
Martin
M
Vondracek
Vladimir
V
Lindner
Jaroslav
J
Vanek
Ivan
I
Kristof
Jan
J
Aschermann
Michael
M
D000368:Aged; D001026:Coronary Artery Bypass / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D006801:Humans; D008297:Male; D020535:Video-Assisted Surgery