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Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...

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Related Experiment Video

Updated: Jun 6, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Total coronary artery revascularization through a mini-sternotomy.

R U Nair1, D A Sharpe, A Mulpur

  • 1Consultant Cardiothoracic Curgeon, Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, England, UK.

Surgical Technology International
|December 8, 2010
PubMed
Summary

Minimally invasive coronary artery bypass surgery can now achieve total revascularization for multivessel disease. This combined technique offers good results, overcoming limitations of previous minimally invasive approaches.

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A Modified Technique for Transverse Aortic Constriction in Mice
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Last Updated: Jun 6, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

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A Modified Technique for Transverse Aortic Constriction in Mice

Published on: August 18, 2022

Area of Science:

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

Background:

  • The primary goal of coronary artery bypass surgery is complete revascularization of stenosed coronary arteries.
  • Advancements in endoscopic technology have enabled minimally invasive approaches like the limited anterior small thoracotomy (LAST) incision for single-vessel bypass.
  • A significant drawback of the LAST technique is its limited applicability in patients with multivessel coronary artery disease, hindering complete revascularization.

Purpose of the Study:

  • To present a novel minimally invasive technique for achieving total coronary artery revascularization.
  • To combine the benefits of minimally invasive surgery with conventional surgical strategies for comprehensive revascularization.
  • To address the limitations of existing minimally invasive methods in treating multivessel coronary artery disease.

Main Methods:

  • Development and implementation of a hybrid surgical approach integrating minimally invasive techniques with traditional coronary artery bypass grafting.
  • Application of the technique to achieve complete revascularization in patients diagnosed with multivessel coronary artery disease.
  • Prospective data collection on patient outcomes following the described surgical procedure.

Main Results:

  • Successfully performed total coronary revascularization using the described minimally invasive technique in 52 patients.
  • The procedures were conducted over a 16-month period.
  • Consistently good clinical results were observed in all treated patients.

Conclusions:

  • The described hybrid minimally invasive technique effectively facilitates total coronary artery revascularization in patients with multivessel disease.
  • This approach overcomes the limitations of purely minimally invasive methods, enabling complete revascularization.
  • The technique demonstrates consistently good outcomes, offering a viable alternative for complex coronary artery disease.