ISMICS Home  |  2022 Virtual Portal  |  Past & Future Meetings
International Society For Minimally Invasive Cardiothoracic Surgery

Back to 2022 Display Posters


Minimally Invasive Coronary Bypass
mugisha kyaruzi1, harun gülmez2, ergun demirsoy3.
1istinye university hospital, istanbul, Turkey, 2kolan group hospital, istanbul, Turkey, 3Kolan group hospital, istanbul, Turkey.

BACKGROUND:Over decades median sternotomy has a been a gold standard approach for treatment of isolated multivessel coronary artery disease but this traditional approach has been associated with sternal wound healing complications leading to remarkable morbidity and mortality. Our aim was to describe our technique of left anterior minithoracotomy through fourth intercostal space for treatment of patients with multivessel coronary lesions . METHODS:Our experience includes 100 consecutive patients who were operated with the same surgical team. Left internal thoracic artery was harvested in all patients by the aid of rib retractor. All patients were operated under cardiopulmonary bypass (CPB) with blood cardioplegia through left minianterior thoracotomy of 5cm-7cm or off pump via left anterolateral minithoracotomy. All other grafts(radial artery,saphenous vein) were harvested endoscopically
RESULTS:We had one mortality(1%) due to non cardiac related cause, no early postoperative myocardial infarction was observed . No convertion to sternotomy(0%). Seven patients had postoperative atrial fiblillation(7%), 2 patient suffered postoperative stroke(resolved with minor neurologic deficit)(2%), 4 patients had revision due to postoperative bleeding(4%) perfomed through the same incision(no sternotomy was required). The mean number of bypass was 3.6 ±0.8, cross clamping time was 78.1 ± 20.6 minutes, cardiopulmonary bypass time was 153.2 ± 37.5 minutes,entubation time was 6.3± 11.3 hours, intensive care unit(ICU) stay was 1.6± 1.8 days, hospital stay was 4.9± 3.1 days. CONCLUSIONS:CABG via left anterior thoracotomy is equally effective as traditional sternotomy but less invasive,quick recovery and is so promising in terms of less morbidity and mortality. It might be an alternative to sternotomy incision and percutaneous techniques.






Back to 2022 Display Posters
By using this site, you agree to our updated Privacy Policy.  Got it