Hybrid Coronary Revascularization Using Limited Incisional Full Sternotomy Coronary Artery Bypass Surgery in Multivessel Disease: Early Results.
- Author:
Joonkyu KANG
1
;
Hyun SONG
;
Seok In LEE
;
Mi Hyung MOON
;
Hwan Wook KIM
;
Gyun Hyun JO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Korea. hyunsong@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Myocardial revascularization;
Coronary artery bypass;
Minimally invasive surgery
- MeSH:
Constriction, Pathologic;
Coronary Angiography;
Coronary Artery Bypass*;
Coronary Artery Disease;
Coronary Vessels*;
Follow-Up Studies;
Humans;
Mammary Arteries;
Medical Records;
Mortality;
Myocardial Revascularization;
Percutaneous Coronary Intervention;
Retrospective Studies;
Skin;
Sternotomy*;
Surgical Procedures, Minimally Invasive;
Wounds and Injuries
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2014;47(2):106-110
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: There are several modalities of coronary artery revascularization for multivessel coronary artery disease. Hybrid coronary revascularization (HCR) with minimally invasive direct coronary artery bypass grafting was introduced for high-risk patients, and recently, many centers have been using it. Limited incisional full sternotomy coronary artery bypass (LIFCAB) involves left internal thoracic artery (LITA)-to-left anterior descending coronary artery (LAD) anastomosis through a sternotomy with a minimal skin incision; it could be considered another technique for minimally invasive LITA-to-LAD anastomosis. Our center has performed HCR using LIFCAB, and in this paper, we report our short-term results, obtained in the past 3 years. METHODS: The medical records of 38 patients from May 2010 to June 2013 were analyzed retrospectively. The observation period after HCR was 1 to 37 months (average, 18.3+/-10.3 months). The patency of revascularization was confirmed with postoperative coronary angio-computerized tomography or coronary angiography. RESULTS: There were 3 superficial wound complications, but no mortalities. All the LITA-to-LAD anastomoses were patent in the immediate postoperative and follow-up studies, but stenosis was detected in 3 cases of percutaneous coronary intervention. CONCLUSION: HCR using LIFCAB is safe and yields satisfactory results from the viewpoint of revascularization for multivessel disease.
