PMID: 9162515Jan 1, 1997Paper

Video-assisted coronary artery bypass

Bulletin de l'Académie nationale de médecine
I GandjbakhchL E Lima

Abstract

The benefits of the internal mammary artery (IMA), as a graft, particularly for the left anterior descending (LAD) coronary artery disease, have been demonstrated. Coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB) is now an accepted technique of myocardial revascularization. Thoracoscopy and a minimal thoracotomy have been applied to cardiac surgery, however its use has not been well defined; in our approach, we harvested the left IMA thoracoscopically. Following this the left IMA-LAD coronary artery anastomosis was fashioned, by means of a left small anterior thoracotomy on the beating heart without CPB. A double lumen endotracheal tube was used so the lung could be collapsed. Three left lateral chest ports of 1 cm were made, and the thoracoscope was placed through the initial port, permitting inspection of the thorax. The other ports were used for IMA dissection, using endoscopic instruments (electrocautery, grasping, forceps,...), the side branches were controlled by either cautery or endoscopic clips. When it was possible, the anterior port was extended doing a small left anterior thoracotomy, the pericardium was exposed, the IMA was divided and exteriorized through the thoracotomy. After coronary ...Continue Reading

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.

Related Papers

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
K J VacaD S Lambrechts
The Journal of Thoracic and Cardiovascular Surgery
J H StevensB A Reitz
Italian Heart Journal : Official Journal of the Italian Federation of Cardiology
Gino GerosaDino Casarotto
© 2021 Meta ULC. All rights reserved