Beating-heart totally endoscopic coronary artery bypass grafting: Report of a case |
| |
Authors: | Satoru Nishida Go Watanabe Norihiko Ishikawa Yujiro Kikuchi Munehisa Takata Teruaki Ushijima |
| |
Institution: | (1) Department of Cardiac Surgery, Innsbruck Medical University, Anichstrasse 35, A-6020 Innsbruck, Austria |
| |
Abstract: | This case report presents beating-heart totally endoscopic coronary artery bypass grafting (TECAB) for single-vessel coronary
artery disease. A 72-year-old man with isolated left anterior descending (LAD) coronary artery disease was considered eligible
for TECAB. Left internal thoracic artery (LITA) mobilization and subsequent off-pump revascularization applying the LITA to
the LAD in a closed chest environment was performed using the da Vinci surgical system (Intuitive Surgical, Mountain View,
CA, USA). The LITA was first harvested completely in a totally skeletonized fashion through three incisions 1–2 cm long in
the left thoracic wall. The LAD was immobilized with the aid of a heart stabilizer. The LITA was then anastomosed to the LAD
with 10 interrupted sutures of a Nitinol self-closing S15 U-clip device (Medtronic, Minneapolis, MN, USA) on the beating heart
without the use of cardiopulmonary bypass. The time acquired to perform anastomosis was 20 min, and the total operative time
was 5 h 34 min. The postoperative course was uneventful and the patient was discharged 5 days after the operation. Beating-heart
TECAB was successfully performed for this patient with single-vessel LAD disease. This approach may be an evolutionary step
toward beating-heart multivessel TECAB. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|