Less Invasive Coronary Surgery: Consensus From the Oxford Meeting

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Presentation transcript:

Less Invasive Coronary Surgery: Consensus From the Oxford Meeting Stephen Westaby, FRCS, Federico J. Benetti, MD The Annals of Thoracic Surgery Volume 62, Issue 3, Pages 924-931 (August 1996) DOI: 10.1016/S0003-4975(96)00557-7 Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 1 (A) The Hemopump (Medtronic, Minneapolis, MN) console and catheter. (B) The rotary impeller. (C) Hemopump inserted via an ascending aorta graft and through the aortic valve. (Figure 1C is reprinted with permission from The Society of Thoracic Surgeons [Ann Thorac Surg 1996;62:495–500].) The Annals of Thoracic Surgery 1996 62, 924-931DOI: (10.1016/S0003-4975(96)00557-7) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 2 (A) The Jarvik cannula pump (Jarvik Research, NY). (B) Cannula pump inserted through the apex at the left ventricle and through the aortic valve. The Annals of Thoracic Surgery 1996 62, 924-931DOI: (10.1016/S0003-4975(96)00557-7) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 3 The retractor for less invasive coronary bypass via left (or right) anterior thoracotomy. The coronary stabilizer is attached (Cardiothoracic Systems, CA). The Annals of Thoracic Surgery 1996 62, 924-931DOI: (10.1016/S0003-4975(96)00557-7) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 4 (A) Small submammary incision for the less invasive approach. (B) Retractor blades hold the soft tissues away from the ribs. (C) Stabilizer applied to the left anterior descending coronary artery. (D) Left internal mammary artery anastomosed to the left anterior descending coronary artery. The Annals of Thoracic Surgery 1996 62, 924-931DOI: (10.1016/S0003-4975(96)00557-7) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 5 Head-mounted display (Vista Medical Technologies, MA) for video-endoscopic surgery obviates the need of the surgeon to turn away from the operative field. The Annals of Thoracic Surgery 1996 62, 924-931DOI: (10.1016/S0003-4975(96)00557-7) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions

Fig. 6 Videoscopic visualization and left internal mammary harvest by the Mayfield approach. (Illustration courtesy of Dr William Mayfield, Atlanta, GA.) The Annals of Thoracic Surgery 1996 62, 924-931DOI: (10.1016/S0003-4975(96)00557-7) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions