Minimally Invasive Direct Coronary Artery Bypass Surgery

doi: 10.5761/atcs.oa.14-00286. Epub 2015 Apr 24.

Minimally invasive direct coronary artery bypass surgery with right gastroepiploic artery for redo patients

Affiliations

• PMID: 25912220
• PMCID: PMC4904875
• DOI: 10.5761/atcs.oa.14-00286

Free PMC article

Minimally invasive direct coronary artery bypass surgery with right gastroepiploic artery for redo patients

Hirofumi Nakagawa  et al. Ann Thorac Cardiovasc Surg. 2015 .

Free PMC article

Abstract

Coronary artery bypass grafting (CABG) has been widely performed for coronary artery disease. Therefore, cases requiring reoperative CABG are increasing. We performed a minimally invasive direct coronary artery bypass (MIDCAB) procedure on four patients, as reoperative CABG surgery for the right coronary artery (RCA), employing the right gastroepiploic artery (RGEA). The target sites were the distal RCA in two patients and the posterior descending (PD) branch in the other two. Complete revascularization was accomplished in all patients without sternotomy, cardiopulmonary bypass (CPB), or blood transfusion. The mean operative time was 3.0 h (range: 2.4-3.7 h). Postoperative coronary angiography showed all grafts to be patent. All patients were discharged without postoperative complications and remained free from cardiac events during a mean follow-up period of 1.5 years (range: 0.5-3.0 years). MIDCAB for the RCA, employing the RGEA via a subxiphoid incision showed, excellent revascularization in redo CABG cases. This technique is a safe and effective method for redo cases.

Figures

Fig. 1

Post operative 3-dimensional coronary CT (case 4). CT: computed tomography; LITA: left internal thoracic artery; RITA: right internal thoracic artery; RGEA: right gastroepiploic artery; anastomosis site (arrow).

Similar articles

• Is there an optimal minimally invasive technique for left anterior descending coronary artery bypass?

  Jegaden O, Wautot F, Sassard T, Szymanik I, Shafy A, Lapeze J, Farhat F. Jegaden O, et al. J Cardiothorac Surg. 2011 Mar 25;6:37. doi: 10.1186/1749-8090-6-37. J Cardiothorac Surg. 2011. PMID: 21439055 Free PMC article.

• Early cardiac contractility outcome of reoperative coronary artery bypass grafting using right gastroepiploic artery.

  Shiraishi M, Kimura N, Yamaguchi A. Shiraishi M, et al. J Card Surg. 2021 Nov;36(11):4103-4110. doi: 10.1111/jocs.15898. Epub 2021 Aug 8. J Card Surg. 2021. PMID: 34365662

• An adequate perioperative management and strategy for gastric cancer after coronary artery bypass using the right gastroepiploic artery.

  Mita K, Ito H, Fukumoto M, Murabayashi R, Koizumi K, Hayashi T. Mita K, et al. Surg Today. 2013 Mar;43(3):284-8. doi: 10.1007/s00595-012-0224-7. Epub 2012 Jun 17. Surg Today. 2013. PMID: 22706786

• Minimally invasive direct redo coronary artery bypass grafting.

  Morishita A, Shimakura T, Miyagishima M, Kawamoto J, Morimoto H. Morishita A, et al. Ann Thorac Cardiovasc Surg. 2002 Aug;8(4):209-12. Ann Thorac Cardiovasc Surg. 2002. PMID: 12472384

• Minimally invasive direct coronary artery bypass grafting (MIDCAB) and off-pump coronary artery bypass grafting (OPCAB): two techniques for beating heart surgery.

  Detter C, Reichenspurner H, Boehm DH, Thalhammer M, Raptis P, Schütz A, Reichart B. Detter C, et al. Heart Surg Forum. 2002;5(2):157-62. Heart Surg Forum. 2002. PMID: 12114131

Cited by 2 articles

• Minimally Invasive Coronary Revascularisation Surgery: A Focused Review of the Available Literature.

  Van Praet KM, Kofler M, Shafti TZN, El Al AA, van Kampen A, Amabile A, Torregrossa G, Kempfert J, Falk V, Balkhy HH, Jacobs S. Van Praet KM, et al. Interv Cardiol. 2021 May 19;16:e08. doi: 10.15420/icr.2021.05. eCollection 2021 Apr. Interv Cardiol. 2021. PMID: 34295373 Free PMC article. Review.

• Clinical Effect and Prognosis of Off-Pump Minimally Invasive Direct Coronary Artery Bypass.

  Yang M, Xiao LB, Gao ZS, Zhou JW. Yang M, et al. Med Sci Monit. 2017 Mar 3;23:1123-1128. doi: 10.12659/msm.902940. Med Sci Monit. 2017. PMID: 28257412 Free PMC article. Clinical Trial.

MeSH terms

LinkOut - more resources

• Full Text Sources

  • Europe PubMed Central
  • J-STAGE, Japan Science and Technology Information Aggregator, Electronic
  • PubMed Central

• Other Literature Sources

  • scite Smart Citations

• Medical

  • MedlinePlus Health Information

Minimally Invasive Direct Coronary Artery Bypass Surgery

Source: https://pubmed.ncbi.nlm.nih.gov/25912220/

Share this post