Key result
Bilateral anterior mini-thoracotomy with bilateral internal mammary and radial artery conduits was successfully used on the off-pump heart in two patients with triple vessel disease.
Case Report (n=2)
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Bilateral MIDCAB using an aortic no-touch technique on the off-pump heart is a feasible sternotomy-sparing approach for triple vessel coronary disease.
Minimally invasive direct coronary artery bypass grafting utilising an anterior mini-thoracotomy has traditionally been limited to surgical revascularisation for single or double vessel coronary disease. The widespread use of percutaneous coronary intervention has further limited the use of this technique. Minimally invasive direct coronary artery bypass grafting offers the advantage of avoiding a sternotomy, in patients with a higher risk of sternal wound dehiscence and infection. We have used bilateral anterior mini-thoracotomy in conjunction with bilateral internal mammary and radial artery conduits, allowing an aortic no-touch technique, on the off-pump heart in two patients.
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Arjuna Weerasinghe (2005) conducted a case report in Triple vessel coronary disease (n=2). Bilateral anterior mini-thoracotomy (MIDCAB) was evaluated. Bilateral anterior mini-thoracotomy with bilateral internal mammary and radial artery conduits was successfully used on the off-pump heart in two patients with triple vessel disease.
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