Cardiac angio-CT scan for planning MIDCAB.
Precise evaluation of the cardiac and thoracic anatomy of the patient is mandatory for planning safe minimally invasive direct coronary artery bypass (MIDCAB). Three-dimensional images obtained with a computed tomographic coronary angiography (angio-CT) scan make it possible to accurately visualize the intrathoracic surgical anatomy in order to check the feasibility of the direct exposure of the anatomical structures involved in the surgical procedure. Particular morphological parameters of coronary arteries such as diameter, wall calcification, and intramyocardial position as well as bypass grafts and internal thoracic artery (ITA) displacement can all be precisely defined with this method. We present our preliminary experience using cardiac angio-CT scan as a method for selecting patients for MIDCAB in order to avoid possible surgical complications to minimize the necessity for conversion to the standard surgical approach as well as for choosing the best surgical access.
Caimmi
Philippe-Primo R
PP
Department of Cardiac Surgery, Ospedale Maggiore della Carita', University of East Piedmont A. Avogadro, Novara, Italy. philippeprimo.caimmi@tin.it
Fossaceca
Rita
R
Lanfranchi
Marco
M
Kapetanakis
Emmanouil I
EI
Verde
Alessandro
A
Panella
Alessandro
A
Bernardi
Massimo
M
Fiume
Cosimo
C
Vivirito
Mario
M
Carriero
Alessandro
A
Micalizzi
Ezio
E
D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D017023:Coronary Angiography / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011857:Radiographic Image Interpretation, Computer-Assisted / Q000379:methods; D012984:Software; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014584:User-Computer Interface