Sequential subxyphoid and thoracotomy incisions with graft pull through for targeted redo multivessel surgical revascularization.
We report on a technique for redo coronary artery bypass using sequential subxyphoid and left thoracotomy access and a vascular graft pull through for proximal anastomosis to the descending aorta. This technique can be used safely on the beating heart when previously implanted grafts to the anterior ventricular wall are patent or whenever resternotomy for redo multivessel coronary artery bypass is undesirable or contraindicated.
Division of Cardiothoracic Surgery, Montreal General Hospital, Montreal, Quebec, Canada. hani.shennib@mcgill.ca
Hani
H
Shennib
Osama
O
Benhameid
D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D023903:Coronary Restenosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013908:Thoracotomy / Q000379:methods*