Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries

Minimally invasive surgery/coronary artery bypass grafting (MICS CABG) via left thoracotomy and multiple CABG is a reported alternative to the standard sternotomy approach. However, harvesting the right internal thoracic artery (RITA) under direct vision requires high surgical skill. We describe MIC...

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Autores principales: Sumi, Kohei, Yoshida, Shigehiko, Okamura, Yoshitaka, Isomura, Tadashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2021
Materias:
New Method
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560542/
https://www.ncbi.nlm.nih.gov/pubmed/33431759
http://dx.doi.org/10.5761/atcs.nm.20-00241
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author Sumi, Kohei
Yoshida, Shigehiko
Okamura, Yoshitaka
Isomura, Tadashi
author_facet Sumi, Kohei
Yoshida, Shigehiko
Okamura, Yoshitaka
Isomura, Tadashi
author_sort Sumi, Kohei
collection PubMed
description Minimally invasive surgery/coronary artery bypass grafting (MICS CABG) via left thoracotomy and multiple CABG is a reported alternative to the standard sternotomy approach. However, harvesting the right internal thoracic artery (RITA) under direct vision requires high surgical skill. We describe MICS CABG with the left internal thoracic artery (LITA) and a composite graft using the in situ right gastroepiploic artery (GEA) and radial artery (RA) to achieve complete coronary revascularization. No complications occurred, and postoperative computed tomography showed patency of all grafts. Our experience suggests that this composite graft can be used safely and effectively in MICS CABG for complete arterial revascularization without difficulty.
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spelling pubmed-85605422021-11-02 Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries Sumi, Kohei Yoshida, Shigehiko Okamura, Yoshitaka Isomura, Tadashi Ann Thorac Cardiovasc Surg New Method Minimally invasive surgery/coronary artery bypass grafting (MICS CABG) via left thoracotomy and multiple CABG is a reported alternative to the standard sternotomy approach. However, harvesting the right internal thoracic artery (RITA) under direct vision requires high surgical skill. We describe MICS CABG with the left internal thoracic artery (LITA) and a composite graft using the in situ right gastroepiploic artery (GEA) and radial artery (RA) to achieve complete coronary revascularization. No complications occurred, and postoperative computed tomography showed patency of all grafts. Our experience suggests that this composite graft can be used safely and effectively in MICS CABG for complete arterial revascularization without difficulty. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2021-01-08 2021 /pmc/articles/PMC8560542/ /pubmed/33431759 http://dx.doi.org/10.5761/atcs.nm.20-00241 Text en ©2021 Annals of Thoracic and Cardiovascular Surgery https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NonDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle New Method
Sumi, Kohei
Yoshida, Shigehiko
Okamura, Yoshitaka
Isomura, Tadashi
Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries
title Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries
title_full Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries
title_fullStr Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries
title_full_unstemmed Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries
title_short Minimally Invasive Multiple Coronary Artery Bypass Grafting with Composite Graft Using in situ Right Gastroepiploic and Radial Arteries
title_sort minimally invasive multiple coronary artery bypass grafting with composite graft using in situ right gastroepiploic and radial arteries
topic New Method
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560542/
https://www.ncbi.nlm.nih.gov/pubmed/33431759
http://dx.doi.org/10.5761/atcs.nm.20-00241
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