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Ann Thorac Surg 1999;67:632-634
© 1999 The Society of Thoracic Surgeons

Original Articles

Minimally invasive internal thoracic artery harvest: the hybrid approach

Massimo Massetti, MDa, Gerard Babatasi, MD, PhDa, Patrick Nataf, MDa, Satar Bhoyroo, MDa, Olivier Le Page, MDa, Andre Khayat, MDa

a Thoracic and Cardiovascular Surgery, University Hospital, Caen, France

Accepted for publication July 28, 1998.

Address reprint requests to Dr Massetti, Department of Thoracic and Cardiovascular Surgery, C.H.U. "Cote de Nacre," 14033 Caen, France

Background. Safe harvesting of the left internal thoracic artery is a difficult problem during minimally invasive coronary artery bypass grafting without cardiopulmonary bypass. A complete internal thoracic artery dissection through a limited approach is technically demanding and time consuming and different techniques have been proposed.

Methods and Results. Based on our experience, the different surgical approaches and technical considerations are reviewed.

Conclusions. A hybrid technique using dissection under direct vision and completed by thoracoscopy is discussed and proposed as our preferred technique of internal thoracic artery harvesting.




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