Key result
Coronary artery bypass grafting using the MICSCAB technique with 3 shunts was successfully performed in a patient with complex multivessel disease, resulting in complete resolution of angina and an increase in left ventricular ejection fraction from 44.6% to 49.6% at 1 month.
Why the study?
The advantages, disadvantages, and practical application of minimally invasive coronary artery bypass techniques remain widely discussed and ambiguous in modern literature.
Case Report (n=1)
No
The MICSCAB technique with parallel artificial circulation from a mini-access is a feasible and effective minimally invasive approach for multivessel coronary artery bypass grafting.
Single-case MICSCAB success indicates technical feasibility; leaves open whether advantages over sternotomy hold in larger comparative studies.
BACKGROUND: Today, minimally invasive coronary surgery is not only a good alternative to classical sternotomy, but also represents a separate developing area of cardiac surgery with the development of more and more low-traumatic techniques, such as minimally invasive direct coronary artery bypass and minimally invasive direct coronary artery bypass (MICSCAB). CLINICAL CASE DESCRIPTION: The advantages and disadvantages of these techniques are widely discussed in modern literature, and their practical application is ambiguous. This article describes a clinical case of successful coronary artery bypass grafting using the MICSCAB technique in a patient with a long history of coronary artery disease and a complex multivessel lesion. CONCLUSION: The presented clinical case proves the advantage of MICSCAB technique in comparison with traditional coronary bypass surgery.
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Teshaev et al. (2023) conducted a case report in Ischemic heart disease with multivessel disease (n=1). MICSCAB technique (3 shunts) with parallel artificial circulation was evaluated on Clinical success and echocardiographic improvement. Coronary artery bypass grafting using the MICSCAB technique with 3 shunts was successfully performed in a patient with complex multivessel disease, resulting in complete resolution of angina and an increase in left ventricular ejection fraction from 44.6% to 49.6% at 1 month.
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