Minimally Invasive Coronary Artery Bypass Grating Using Bilateral In Situ Internal Thoracic Arteries Keita Kikuchi, MD, PhD, Dai Une, MD, Yoshiki Endo,

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Presentation transcript:

Minimally Invasive Coronary Artery Bypass Grating Using Bilateral In Situ Internal Thoracic Arteries Keita Kikuchi, MD, PhD, Dai Une, MD, Yoshiki Endo, MD, Takayoshi Matsuyama, MD, Yasuhisa Fukada, MD, Atsushi Kurata, MD The Annals of Thoracic Surgery Volume 100, Issue 3, Pages 1082-1084 (September 2015) DOI: 10.1016/j.athoracsur.2014.11.056 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Right internal thoracic artery harvest through a small left thoracotomy. The right lung was displaced rightward using an epicardial stabilizer inserted through a 10-mm subxiphoid incision. A long harmonic scalpel was used through a small port, inserted on the mid-axillary line. The Annals of Thoracic Surgery 2015 100, 1082-1084DOI: (10.1016/j.athoracsur.2014.11.056) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Distal anastomosis. Target vessels were exposed using a heart positioner. Through a small thoracotomy, anastomoses were performed as in regular off-pump coronary artery bypass grafting. The Annals of Thoracic Surgery 2015 100, 1082-1084DOI: (10.1016/j.athoracsur.2014.11.056) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative computed tomography angiography. (A, B) The bilateral in situ internal thoracic arteries and saphenous vein graft were patent. The Annals of Thoracic Surgery 2015 100, 1082-1084DOI: (10.1016/j.athoracsur.2014.11.056) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions