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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.

The Thoracic and Cardiovascular Surgeon Reports
|February 7, 2022
PubMed

Insights

Minimally invasive off-pump coronary artery bypass grafting using both internal thoracic arteries is a safe and effective option. This technique benefits patients with coronary artery disease and impaired lung function.

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Procedures
  • Thoracic Surgery

Background:

  • Off-pump coronary artery bypass grafting (CABG) via anterolateral mini-thoracotomy is a recognized safe and feasible surgical approach.
  • Minimally invasive techniques are increasingly preferred for coronary revascularization.

Observation:

  • A 61-year-old patient with severe coronary artery disease and significantly impaired lung function due to chronic obstructive pulmonary disease was evaluated.
  • The patient presented with severe stenosis in the left anterior descending artery and a diagonal branch.

Findings:

  • Successful coronary artery bypass grafting was performed using a minimally invasive, off-pump, anaortic technique.
  • Both internal thoracic arteries were utilized for grafting, employing a fan technique with double lung ventilation via left anterolateral mini-thoracotomy.

Implications:

  • Anaortic, minimally invasive off-pump CABG is an excellent strategy for myocardial revascularization.
  • This approach is suitable for patients with compromised lung function, offering effective revascularization with bilateral internal thoracic artery grafts.

Keywords:
LITARITAchronic obstructive pulmonary disease (COPD)coronary artery bypass graftingminimally invasive cardiac surgery (MICS)off-pump CABG

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