title: Minimally invasive direct coronary artery bypass grafting for third-time coronary artery revascularization.
abstract: We performed a minimally invasive direct coronary artery bypass (MIDCAB) on two patients for third-time revascularization. The first patient was a 66-year-old woman who had patent bilateral internal thoracic artery (ITA) grafts and an occluded radial artery (RA) graft anastomosed to the posterolateral (PL) branch. She underwent her third revascularization for left circumflex coronary artery reconstruction with the MIDCAB technique using the right gastroepiploic artery. The second patient was a 65-year-old man who had occluded saphenous vein grafts (SVGs) on the anterior aspect of the heart, a stenotic left ITA graft to the left anterior descending artery, and a stenotic SVG to the PL branch. He underwent his third revascularization by MIDCAB using a bilateral RA-Y graft. Postoperative angiography of the two cases showed that the new grafts were widely patent.
authors.affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, Kanazawa, Japan.
authors.forename: Shigeki
authors.initials: S
authors.lastname: Tabata
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
authors.forename: Kenji
authors.initials: K
authors.lastname: Iino
authors.forename: Kouichi
authors.initials: K
authors.lastname: Hagashidani
authors.forename: Syohjiro
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Tomita
authors.forename: Sadahiko
authors.initials: S
authors.lastname: Arai
authors.forename: Takehisa
authors.initials: T
authors.lastname: Imagawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saito
mesh_terms: D000368:Aged; D003251:Constriction, Pathologic; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D012086:Reoperation; D012501:Saphenous Vein / Q000473:pathology / Q000637:transplantation; D014654:Vascular Patency