Key result
Transdiaphragmatic coronary artery bypass grafting was completed in all 10 cases without sternotomy or cardiopulmonary bypass, achieving 100% early graft patency and zero operative mortality.
Why the study?
Is coronary artery bypass grafting via a transdiaphragmatic approach using the right gastroepiploic artery safe and feasible?
Is coronary artery bypass grafting via a transdiaphragmatic approach using the right gastroepiploic artery safe and feasible?
Coronary artery bypass grafting via a transdiaphragmatic approach using the right gastroepiploic artery is a feasible and safe procedure without the need for sternotomy or cardiopulmonary bypass, potentially useful for difficult PCI cases.
Supports feasibility of sternotomy-free CABG in select cases; leaves open need for prospective validation before wider use.
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Yamada et al. (2018) studied this question. Transdiaphragmatic coronary artery bypass grafting was completed in all 10 cases without sternotomy or cardiopulmonary bypass, achieving 100% early graft patency and zero operative mortality.
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