[Minimally invasive direct coronary artery bypass grafting (MIDCAB) without cardiopulmonary bypass: a case report]

A new coronary artery bypass grafting of the left anterior descending coronary arteries (LAD) with in situ internal thoracic artery (ITA) bypass grafts through a limited anterior thoracotomy was performed in a 70-year-old [correction of 60] patient. The left ITA-LAD anastomosis was completed without cardiopulmonary bypass and postoperative angiography showed a patent anastomosis. With this minimally invasive approach, the procedure should provide the benefits of ITA grafting with rapid recovery short hospital stay without complication associated with cardiopulmonary bypass in selected cases.