Successful coronary surgical stenting: a new hybrid approach.
Our goal is to introduce a new hybrid coronary revascularization concept-coronary surgical stenting. The procedure was performed on a 78-year old woman with severe, long and calcified involvement of the proximal left anterior descending artery, chronic total occlusion of the mid-left anterior descending artery and severe disease in the distal left anterior descending artery. An off-pump minimally invasive procedure was performed through the fifth intercostal space, including concurrent surgical placement of a drug-eluting stent in the distal left anterior descending artery, through the left anterior descending artery graft incision, associated with the left internal mammary artery to the mid-left anterior descending artery graft. This procedure resulted in successful revascularization of the left anterior descending artery in a patient with complex coronary disease.
Department of Cardio-Thoracic Surgery, Santa Maria University Hospital, Lisbon, Portugal.
Javier G
JG
Poveda
Department of Cardiology, Santa Maria University Hospital, Lisbon, Portugal.
Gustavo L
GL
Silva
Department of Cardiology, Santa Maria University Hospital, Lisbon, Portugal.
Pedro C
PC
Silva
Department of Cardio-Thoracic Surgery, Santa Maria University Hospital, Lisbon, Portugal.
Ângelo
Â
Nobre
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery*; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D016896:Treatment Outcome
Coronary disease; Coronary surgical stenting; Hybrid coronary revascularization