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Ann Thorac Surg 1998;65:1774-1776
© 1998 The Society of Thoracic Surgeons

Case Reports

Minimally Invasive Bilateral Internal Mammary Artery Bypass Grafting

Vassilios Gulielmos, MDa, Markus Dangel, MDa, Stephan Schüler, MDa

a Cardiovascular Institute, University Hospital Dresden, Dresden, Germany

Accepted for publication December 18, 1997.

Address reprint requests to Dr Schüler, Cardiovascular Institute, University Hospital Dresden, Fetscherstr 76, D-01307 Dresden, Germany

We report about a 71-year-old man with coronary artery double-vessel disease who received minimally invasive coronary artery bypass grafting through a 9-cm left lateral chest incision in the third intercostal space. Both mammary arteries were harvested either directly (left internal mammary artery) or thoracoscopically (right internal mammary artery) and anastomosed to the left anterior descending artery and the circumflex artery through this single left lateral chest incision. The postoperative course was uneventful, and the patient was discharged on postoperative day 5.






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