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Updated: Oct 4, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Bilateral Internal Thoracic Artery Minimally Invasive CABG Management in COPD
Anna Kathrin Assmann1, Artur Lichtenberg1, Alexander Assmann1
1Department of Cardiac Surgery, Heinrich Heine University, Medical Faculty, Duesseldorf, Nordrhein-Westfalen, Germany.
Abstract:
Background Off-pump multi-arterial minimally invasive coronary surgery via anterolateral mini-thoracotomy has become a feasible and safe procedure. Case Description We report on a 61-year-old patient with a coronary one-vessel disease with severely stenotic left anterior descending artery and diagonal branch, additionally suffering from chronic obstructive pulmonary disease with severely impaired lung function. Using a fan technique allowing for double lung ventilation, the patient was successfully operated grafting both internal thoracic arteries via a left anterolateral mini-thoracotomy. Conclusion Anaortic, minimally invasive off-pump coronary artery bypass grafting is an excellent technique to achieve myocardial revascularization with both internal thoracic arteries even in patients with impaired lung function.
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