Bailouts to LIMA Damage for Avoiding Conversion in Minimal Access Coronary Procedures Thanos Athanasiou, MD, PhD, Hutan Ashrafian, MRCS, PhD, Leanne.

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Presentation transcript:

Bailouts to LIMA Damage for Avoiding Conversion in Minimal Access Coronary Procedures Thanos Athanasiou, MD, PhD, Hutan Ashrafian, MRCS, PhD, Leanne Harling, MRCS, PhD, Roberto P. Casula, MD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages e173-e176 (August 2016) DOI: 10.1016/j.athoracsur.2016.02.059 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Our protocol for management of left internal mammary artery (LIMA) damage in minimally invasive coronary cases. The Annals of Thoracic Surgery 2016 102, e173-e176DOI: (10.1016/j.athoracsur.2016.02.059) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (a) Axillary bypass technique. (b) Left internal mammary artery (LIMA) repair over a shunt. (c) LIMA extension with conduit. The Annals of Thoracic Surgery 2016 102, e173-e176DOI: (10.1016/j.athoracsur.2016.02.059) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative angiograms demonstrating patency of the left internal mammary artery (LIMA) and LIMA extension after minimally invasive direct coronary artery bypass at (a) 4 months and (b) 1 year. The Annals of Thoracic Surgery 2016 102, e173-e176DOI: (10.1016/j.athoracsur.2016.02.059) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions