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Multivessel total arterial revascularization via left thoracotomy
Sushil Kumar Singh1, Surya Kumar Mishra, Deepak Kumar
1Department of Cardiology & Cardio Thoracic Surgery, Batra Hospital & Medical Research Centre, New Delhi, India. sksinha@de13.vsnl.net.in
Asian Cardiovascular & Thoracic Annals
|February 24, 2004
Summary
Off-pump coronary artery bypass grafting offers complete arterial revascularization. This minimally invasive anterolateral thoracotomy approach achieved excellent results in 27 patients without operative mortality.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
Background:
- Off-pump coronary artery bypass grafting (OPCAB) is increasingly favored for coronary revascularization.
- There is a growing preference for complete revascularization using arterial grafts.
Purpose of the Study:
- To describe a method for multivessel, total arterial, complete revascularization.
- To evaluate the safety and efficacy of this approach via an anterolateral thoracotomy.
Main Methods:
- A cohort of 27 patients underwent multivessel, total arterial revascularization.
- The surgical approach utilized was an anterolateral thoracotomy.
- An average of 3.2 grafts were used per patient.
Main Results:
- No operative mortalities were recorded in the study group.
- None of the patients required conversion to cardiopulmonary bypass.
- No patients needed midsternotomy during the procedure.
Conclusions:
- Multivessel, total arterial revascularization is feasible and safe via an anterolateral thoracotomy.
- This minimally invasive OPCAB technique avoids cardiopulmonary bypass and midsternotomy.
- The approach facilitates complete revascularization with excellent early outcomes.