Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Subxiphoid multi-arterial OPCAB: surgical technique and initial case report.

Mark M Levinson1

  • 1Cardiothoracic Surgery, Hutchinson Hospital, Hutchinson, KS 67502, USA. mmlevinson@hsforum.com

The Heart Surgery Forum
|August 23, 2005
PubMed
Summary

This study introduces a novel subxiphoid approach for multivessel coronary artery bypass grafting (CABG) on a beating heart. This minimally invasive technique offers a promising alternative to traditional sternotomy for complex cardiac surgeries.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Report of the Third Heart Surgery Forum Scientific Sessions: Zagreb, Croatia December 6-8, 2017: Conference Highlights.

The heart surgery forum·2018
Same author

The Heart Surgery Forum. Editorial.

The heart surgery forum·2014
Same author

Microsizing using inside suture placement. A simple and versatile technique for precision adjustment of ring annuloplasties.

The heart surgery forum·2012
See all related articles

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Cardiac Surgery
  • Surgical Innovation

Background:

  • Traditional transsternal coronary artery bypass grafting (CABG) has seen limited innovation.
  • Existing minimally invasive techniques like minithoracotomy and totally endoscopic CABG have limitations for multivessel grafting.
  • A need exists for a less invasive multivessel CABG approach with a manageable learning curve and acceptable costs.

Observation:

  • A novel subxiphoid surgical technique was developed for multi-arterial bypass grafting.
  • The technique involves xiphoid process removal, sternal lifting, diaphragm retraction, and specialized retraction for cardiac access.
  • Full-length skeletonized internal mammary arteries were used as conduits for off-pump distal anastomoses.

Findings:

Related Experiment Videos

  • Successful multivessel coronary artery bypass grafting was performed via a small subxiphoid incision.
  • Distal anastomoses were achieved on the beating heart, including to the lateral wall (obtuse marginal branch).
  • The patient, a 79-year-old male, experienced no complications and was discharged on postoperative day 4 with complete angina relief.

    • Implications:

    • The subxiphoid approach allows for multivessel grafting to all heart regions using existing surgical skills.
    • This technique has the potential to reduce invasiveness and hospital costs for CABG.
    • Further development may enable outpatient CABG with superior long-term outcomes compared to coronary stenting.