Total Arterial Multi Vessel Minimally Invasive Coronary Artery Bypass Grafting
Shinji Ogawa, Yasuhide Okawa, Koshi Sawada, Yoshihiro Goto, Soh Hosoba, Syunsuke Fukaya.
Toyohashi Heart Center, Toyohashi, Japan.
OBJECTIVE: Minimally invasive coronary artery bypass grafting (MICS CABG) with multi vessel grafting was introduced in May, 2016 into our institute. We reviewed the clinical outcomes of total arterial multi vessel MICS CABG through left mini-thoracotomy.
METHODS: Five patients underwent total arterial multi vessel MICS CABG at our institute from May 2016 to November 2016. Their mean age was 65.2 ± 9.1 years, and all of them were male. None of the procedures were converted to sternotomy.
RESULTS: There were no operative death, stroke and surgical site infection during the hospital admission. All of the procedures were performed using off-pump technique. The bilateral internal thoracic arteries and the right gastroepiploic artery were used as arterial grafts. The grafts number was 2 in all of the procedure. Only one right internal thoracic artery was demonstrated string sign on early postoperative angiography. At the median 7 hospitalization days (range, 5-9 days), they all admitted.
CONCLUSIONS: Total arterial multi vessel MICS CABG with bilateral internal thoracic arteries and right gastroepiploic artery can be safely performed using off-pump technique and provide favorable clinical and angiographic outcomes.
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