Minimally Invasive Coronary Artery Bypass Grafting.
- Author:
Chan Young RA
1
;
Young Thak LEE
;
Jung Won PARK
;
Do Hyun JUNG
;
Il Sang JUNG
;
Yoon Seop JEONG
;
Wook Sung KIM
;
Jung Hyeun BANG
;
Seob LEE
;
Cheol Hyun CHUNG
;
Woong Han KIM
;
Young Kwhan PARK
;
Chong Whan KIM
;
Sung Nok HONG
;
Jae Jin HAN
;
Kun LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Coronary artery surgery;
Minimally invasive surgery
- MeSH:
Blood Transfusion;
Cardiopulmonary Bypass;
Coronary Angiography;
Coronary Artery Bypass*;
Coronary Vessels*;
Hospitals, General;
Humans;
Mammary Arteries;
Myocardial Revascularization;
Radial Artery;
Saphenous Vein;
Sternotomy;
Surgical Procedures, Minimally Invasive;
Thoracoscopes;
Thoracotomy;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(2):118-124
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Minimally invasive coronary artery bypass grafting without using cardiopulmonary bypass (CPB) is a recently accepted modality of myocardial revascularization prcedures which is particularly suitable to the patients with lesions in the left anterior descending (LAD) and the right coronary arteries. Of the consecutive 35 patients of coronary artery bypass grafting performed at Sejong General Hospital from March to August 1996, six patients underwent minimally invasive coronary artery bypass grafting without CPB. All had stenotic lesions of the LAD more than 90%. Bypass grafting of the LAD was approached through midline sternotomy in one, through ministernotomy in two, and through limited left anterior thoracotomy in three patients, respectively. The internal mammary arteries were prepared without the use of thoracoscope. The mobilized mammary arteries were connected directly to the LAD in 5 patients, and the anastomosis required interposition of a segment of the radial artery in the remaining one. The diagonal branch was revascularized with the saphenous vein graft at the same time in one patient. No blood transfusion was necessary in 2 patients, and average blood required during surgery was 800ml in 4 patients. All patients were extubated from 4 to 14 hours (mean 9 hours) after operation. Early postoperative coronary angiography in 5 patients between 7 and 10 days after surgery has proved full patency of the grafts. With these limited clinical experiences, the clinical results demonstrated that minimally invasive coronary artery bypass grafting without CPB is an useful procedure especially in patients with isolated lesion in the proximal LAD.
