Total Coronary Artery Revascularization Through a Mini-Sternotomy.

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Cardiac Surgery
• Coronary Artery Disease

Background:

• Complete revascularization is the primary goal of coronary artery bypass surgery.
• Limited anterior small thoracotomy (LAST) allows selective bypass grafting but struggles with multivessel disease.
• Advancements in endoscopic instruments have driven the evolution of minimally invasive cardiac procedures.

Purpose of the Study:

• To describe a novel minimally invasive technique for total coronary artery revascularization.
• To address the limitations of current minimally invasive approaches in treating multivessel coronary artery disease.
• To evaluate the efficacy and outcomes of this combined conventional and minimally invasive surgical strategy.

Main Methods:

• A hybrid technique combining conventional and minimally invasive surgical approaches was developed.
• The technique was applied to perform total coronary artery revascularization.
• Patient data from 52 cases over 16 months were analyzed.

Main Results:

• The described technique enabled total coronary artery revascularization in patients with multivessel disease.
• Consistently good surgical results were achieved in all 52 patients.
• The approach successfully overcame the limitations of selective LAST procedures.

Conclusions:

• This hybrid minimally invasive technique offers a viable solution for total coronary artery revascularization in multivessel disease.
• The combined approach leverages the benefits of both conventional and minimally invasive surgery.
• The procedure demonstrated consistent positive outcomes, supporting its clinical application.