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September 10, 2025JACC Case ReportsOpen Access

Minimally Invasive Redo-Coronary Artery Bypass Grafting to the Left Anterior Descending Artery

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Case report details a minimally invasive strategy to reduce morbidity during redo-coronary artery bypass grafting, highlighting risks involved.

A minimally invasive approach reduced the need for high-risk resternotomy in a 71-year-old patient with exertional angina.
The patient had a chronic occlusion of the left internal thoracic artery and an acutely occluded saphenous vein graft.
This case emphasizes the risks associated with traditional redo procedures, including increased morbidity and mortality.
Utilizing a minimally invasive technique avoided complications related to cardiopulmonary bypass and aortic manipulation.

Rogers et al. (2025) studied this question.

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Case report details a minimally invasive strategy to reduce morbidity during redo-coronary artery bypass grafting, highlighting risks involved.