Coronary artery bypass grafting without full sternotomy.
Coronary artery bypass grafting is performed without full sternotomy in selected patients because it is less invasive. Left internal thoracic artery-left anterior descending artery bypass (LITA-LAD bypass) via a small left anterior thoracotomy is a well established procedure, which achieves good graft patency with low mortality and morbidity rates. Multiple revascularization is possible with a limited lateral thoracotomy or L-figure approach. Axillary-coronary bypass and right gastroepiploic artery-right coronary artery bypass (RGEA-RCA bypass) are alternative methods, especially for redo surgery, in selected patients.
Sasaki
Hideki
H
Department of Cardiothoracic Surgery, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390, USA.
D009202:Cardiomyopathies / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D056346:Sternotomy / Q000379:methods*; D013908:Thoracotomy / Q000379:methods*