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MIDCAB Tips and tricks for a successful procedure
Alberto Repossini1, Massimo Baudo2, Michele D'Alonzo2
1Cardiac Surgery, Spedali Civili di Brescia, Brescia, Italy.
Abstract:
Minimally invasive direct coronary artery bypass (MIDCAB) for a left internal mammary artery on left anterior descending (LIMA-LAD) graft, is a safe and relatively less traumatic surgical technique. Adoption in some centers has been slow because of perceived technical difficulty, but it should be considered a first-choice therapy for patients with isolated proximal LAD lesions or multi-vessel disease, and as a component of a hybrid revascularization strategy. Results in our institute, where we have been using MIDCAB for more than 20 years, confirm both its short- and long-term efficacy. This video tutorial demonstrates the technical aspects of the procedure.
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