Reoperative coronary artery bypass grafting using a minimally invasive direct coronary artery bypass procedure |
| |
Authors: | Takashi Ueda Tetsuji Kawata Kazumi Mizuguchi Tsuyoshi Tsuji Nobuoki MD Tabayashi Takehisa Abe Hiroshi Naito Kunimoto Nezu Shigeki Taniguchi |
| |
Affiliation: | Department of Surgery III, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan. |
| |
Abstract: | OBJECTIVE: Reoperative coronary artery bypass grafting with cardiopulmonary bypass tends to cause a higher mortality and morbidity than the primary operation. The purpose of this study was to discuss the effectiveness and safety of a minimally invasive coronary artery bypass procedure for patients who had previously undergone coronary artery bypass surgery. METHODS: We performed redo single coronary artery bypass grafting to the left anterior descending coronary artery in 9 patients and to the right coronary artery in 3 patients using minimally invasive cardiac surgery. The graft to the left anterior descending coronary artery was taken from the left internal thoracic artery in 5 patients, the right gastroepiploic artery in 3 patients, and from the saphenous vein in the other 1 patient. The graft to the right coronary artery was from the right gastroepiploic artery in all 3 patients. RESULTS: All grafts were patent. There was no major postoperative complication and no surgical or hospital death except one late death. CONCLUSIONS: In selected patients, we could safely and completely perform coronary artery bypass re-grafting to the left descending coronary artery or right coronary artery using a minimally invasive operation. |
| |
Keywords: | Minimally invasive direct coronary artery bypass Redo-CABG |
本文献已被 SpringerLink 等数据库收录! |