Combined minimally invasive direct coronary artery bypass with video-assisted thoracoscopic surgery thymectomy via left anterolateral mini-thoracotomy

Minimally invasive surgery (MIS) has become increasingly prevalent across almost all surgical specialties, including cardiothoracic surgery. However, combined MIS for coronary artery bypass and thymectomy in a single sitting has not been previously documented. We report a case of a 61-year-old male with coronary artery disease and anterior mediastinal nodules who underwent both minimally invasive direct coronary artery bypass (MIDCAB) and video-assisted thoracoscopic surgery (VATS) thymectomy via left anterolateral mini-thoracotomy. He was discharged on post-operative day 3. In well-selected patients, performing concomitant MIDCAB and VATS thymectomy through the same incisions is safe and feasible, and significantly reduces hospitalisation duration.