Minimally Invasive Coronary Artery Bypass Grating Using Bilateral In Situ Internal Thoracic Arteries.
When performing minimally invasive coronary artery bypass grafting (MICS CABG), it is difficult to access the right internal thoracic artery (ITA) under direct vision. We successfully performed off-pump MICS CABG using the bilateral in situ ITAs through a 8-cm left thoracotomy under direct vision for a 76-year-old man. His postoperative course was uneventful and all the grafts were patent. This novel, minimally invasive approach safely preserves the sternum and delivers the benefits of bilateral in situ ITA grafting, providing an alternative to conventional CABG and off-pump CABG.
Division of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato, Japan. Electronic address: k-kikuchi@seiwa.or.jp.
Keita
K
Kikuchi
Division of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato, Japan.
Dai
D
Une
Division of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato, Japan.
Yoshiki
Y
Endo
Division of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato, Japan.
Takayoshi
T
Matsuyama
Division of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato, Japan.
Yasuhisa
Y
Fukada
Division of Cardiovascular Surgery, Yamato Seiwa Hospital, Yamato, Japan.
Atsushi
A
Kurata
D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D019060:Minimally Invasive Surgical Procedures