Minimally Invasive Coronary Artery Bypass Grafting by Joseph T. McGinn, Saif Usman, Harry Lapierre, Vijayasimha R. Pothula, Thierry G. Mesana, and Marc.

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Date of download: 9/19/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association Between Endoscopic vs Open Vein-Graft.

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Presentation transcript:

Minimally Invasive Coronary Artery Bypass Grafting by Joseph T. McGinn, Saif Usman, Harry Lapierre, Vijayasimha R. Pothula, Thierry G. Mesana, and Marc Ruel Circulation Volume 120(11 suppl 1):S78-S84 September 15, 2009 Copyright © American Heart Association, Inc. All rights reserved.

Figure 1. Schematic representation of anatomic relations in MICS CABG. A left fifth intercostal space anterolateral thoracotomy allows direct visualization of and access to the cardiac apex, the LITA, the LAD, the branches of the circumflex and right coronary arteries, and the ascending aorta. Joseph T. McGinn, Jr et al. Circulation. 2009;120:S78-S84 Copyright © American Heart Association, Inc. All rights reserved.

Figure 2. Left anterolateral thoracotomy presentation of the ascending aorta for partial clamping and hand-sewn proximal anastomoses. Joseph T. McGinn, Jr et al. Circulation. 2009;120:S78-S84 Copyright © American Heart Association, Inc. All rights reserved.

Figure 3. Representative chest wound healing at 4 weeks postoperatively in a 71-year-old white man who underwent MICS CABG with 3 coronary bypass grafts, with the LITA, the right radial artery, and a saphenous vein segment. Joseph T. McGinn, Jr et al. Circulation. 2009;120:S78-S84 Copyright © American Heart Association, Inc. All rights reserved.

Figure 4. Surgeon-specific adoption rates for MICS CABG at 2 tertiary centers. Joseph T. McGinn, Jr et al. Circulation. 2009;120:S78-S84 Copyright © American Heart Association, Inc. All rights reserved.