[Minimum invasive coronary operations: indications, technique, contra-indications]

On the basis of the experience with the contemporary coronary chirurgery with classical bypass technology under the conditions of cardiopulmonary bypass (CPB) are specified the complications that occurred in the patient. These complications, generalized as 'postperfusion syndrome' are filled out with common brain complications like embolism, insultus and these in neurokognitive sphere of the brain activity. For decrease the complications by the coronary operations from 1975 are developed new technologies for coronary revascularization under the conditions of 'beating heart' without CPB (off-pump technologies). From 1980 Benetti F. and Buffalo (1981) in Latin America widely use the coronary revascularization of 'beating heart' without CPB (off-pump coronary artery bypass = OPCAB). For the realization of these operations are developed miniinvasive operative technologies through different operative admissions: small anterolateral thoracotomy, dorsolateral thoracotomy, xiphoid transdiaphragmatic, transabdominal etc. A considerable facilitation by OPCAB is achieved with using vacuum or mechanical stabilizers of the cardiac activity. In the course of last decade OPCAB operations are taken with endoscope technics Mack and coll. (1997), Wolf (1998) etc. The technology for decreasing of the operative technology is developed by adopting robot assistance by the coronary bypass operations (RAVECAB) from Boyd and coll. (2001), Kiaii and coll. (2000), Mohr, Falk and Diegeler (1999) etc. The miniinvasive coronary revascularization can be applied by exact draft patients and help for decreasing the postoperative complications and the lethality.