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Minimally invasive bilateral internal mammary artery bypass grafting
V Gulielmos1, M Dangel, S Schüler
1Cardiovascular Institute, University Hospital Dresden, Germany.
Insights
Minimally invasive coronary artery bypass grafting was performed using a single left lateral chest incision. This approach successfully treated double-vessel coronary artery disease in a 71-year-old patient.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
Background:
- Coronary artery disease (CAD) necessitates revascularization to restore blood flow.
- Traditional coronary artery bypass grafting (CABG) often involves a median sternotomy.
- Minimally invasive techniques aim to reduce surgical trauma and improve recovery.
Observation:
- A 71-year-old male patient with double-vessel CAD was selected for surgical intervention.
- A novel approach utilized a single, small (9-cm) left lateral chest incision.
- The left internal mammary artery was harvested directly, and the right internal mammary artery thoracoscopically.
Findings:
- Both internal mammary arteries were successfully anastomosed to target coronary arteries (left anterior descending and circumflex) via the single incision.
- The surgical procedure was completed with a minimally invasive technique.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case demonstrates the feasibility of performing bilateral internal mammary artery grafting for double-vessel CAD through a single left lateral thoracotomy.
- This technique may offer a less invasive alternative to conventional CABG.
- Further research could explore the long-term outcomes and broader applicability of this approach.
Abstract:
We report about a 71-year-old man with coronary artery double-vessel disease who received minimally invasive coronary artery bypass grafting through a 9-cm left lateral chest incision in the third intercostal space. Both mammary arteries were harvested either directly (left internal mammary artery) or thoracoscopically (right internal mammary artery) and anastomosed to the left anterior descending artery and the circumflex artery through this single left lateral chest incision. The postoperative course was uneventful, and the patient was discharged on postoperative day 5.