Minimally invasive coronary artery bypass grafting.
Limited access, off-pump coronary artery bypass grafting for revascularization of all the various coronary arteries is an acceptable alternative to standard on-pump coronary bypass grafting through sternotomy. A variety of small, targeted incisions are used to approach various coronary locations. Technical advances in conduit harvesting, stabilization, cardiac positioning devices, and anastomotic connectors have made these procedures more standardized and replicable. This has resulted in reduced morbidity as a consequence of less invasive approaches. These efforts have paved the way for the ultimate goal of same day surgical coronary revascularization.
Subramanian
Valavanur A
VA
Department of Cardiothoracic Surgery, Lenox Hill Hospital, New York, NY 10075, USA. vsubramanian@lenoxhill.net
Loulmet
Didier F
DF
Patel
Nirav C
NC
D001026:Coronary Artery Bypass / Q000295:instrumentation / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008323:Mammary Arteries / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D011446:Prospective Studies; D013350:Subclavian Vein / Q000601:surgery; D016896:Treatment Outcome