[Redo Coronary Artery Bypass Grafting Performed via Left Thoracotomy]
Taishi Kawahata1, Mayuko Kitao, Keisuke Nakamura
1Department of Cardiovascular Surgery, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Insights
This study shows that left thoracotomy coronary artery bypass grafting (CABG) is a safe and effective alternative for treating left coronary artery disease. This minimally invasive approach resulted in no mortality and patent grafts in all patients.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Procedures
- Vascular Anastomosis Techniques
Abstract:
Eight patients underwent coronary artery bypass grafting( CABG) by left thoracotomy approach to the left coronary artery territory after CABG. The left subclavian artery was selected as an inflow anastomosis site, and the greater saphenous vein was used as a graft. The average operative time was 187 minutes, and the hospital stay was 12.2 days. Off-pump CABG was complete in all patients. There were no cases of mortality during hospitalization, and grafts were patent in the confirmed cases. We believe that the left thoracotomy approach avoids problems such as injury of the patent graft due to redo sternotomy, and reduces the mortality and complication rate.
