PMID: 9436562Jan 22, 1998Paper

Intraoperative angiography during minimally invasive direct coronary artery bypass operations

The Annals of Thoracic Surgery
R R LazzaraE K Young

Abstract

The technical demands of beating heart operations raise concerns about anastomotic patency. This feasibility study tested the usefulness of intraoperative angiography during minimally invasive direct coronary artery bypass grafting (MIDCABG). Ten patients underwent intraoperative angiography of the internal thoracic artery (ITA) after MIDCABG. Minimally invasive direct coronary artery bypass grafting was performed on a beating heart through the fourth or fifth intercostal space. Angiography was performed through the right or left femoral artery with a 7F introducer system placed before the operation. Views were obtained in the right and left anterior oblique and straight anterior projections. There were no deaths or intraoperative morbidities related to MIDCABG or angiography. Seven patients demonstrated widely patent MIDCABG anastomoses with obliteration of all intercostals, widely patent ITA pedicles, good distal runoff, and placement of the ITA into the proper native coronary artery. Two patients had revisions of their ITA pedicles, which on repeated angiography showed correction. One patient's procedure was converted to a sternotomy because of poor distal runoff and haziness at the level of the MIDCABG anastomosis. This fea...Continue Reading

References

Sep 1, 1995·Journal of Cardiac Surgery·M C RobinsonE Stedje-Larsen
Jan 25, 1996·The New England Journal of Medicine·A CameronH V Schaff
Jun 13, 1996·The New England Journal of Medicine·M J Garcia, A A Passer
Sep 1, 1996·The Annals of Thoracic Surgery·S Westaby, F J Benetti
Feb 1, 1997·The Annals of Thoracic Surgery·P W BoonstraM A Mariani

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Citations

May 23, 2002·The Annals of Thoracic Surgery·Tetsuro MorotaChing-Tsorng Huang
Nov 4, 1998·The Annals of Thoracic Surgery·M B IzzatA P Yim
Apr 10, 1999·The Annals of Thoracic Surgery·R R Lazzara, F E Kidwell
Nov 4, 2004·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Marek Gwozdziewicz
Jun 23, 1999·Seminars in Thoracic and Cardiovascular Surgery·P E Krucylak
Feb 1, 2005·The Annals of Thoracic Surgery·Kazumasa OrihashiKatsuhiko Imai
Dec 29, 2004·The Annals of Thoracic Surgery·Calin IvascauAndrè Khayat
Oct 3, 2006·Current Opinion in Anaesthesiology·M Lampa, J Ramsay

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