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Ann Thorac Surg 1999;67:1505-1506
© 1999 The Society of Thoracic Surgeons


How To Do It

Reversed-J inferior sternotomy for beating heart coronary surgery

Jan G. Grandjean, MD, PhDa, Carlo Canosa, MDa, Massimo A. Mariani, MD, PhDa, Piet W. Boonstra, MD, PhDa

a Thorax Center, University Hospital Groningen, Groningen, the Netherlands

Accepted for publication December 3, 1998.

Address reprint requests to Dr Grandjean, Thorax Center, University Hospital Groningen, Hanzeplein, 1, P.O. Box 30.001, 9700 RB Groningen, the Netherlands
e-mail: j.g.grandjean{at}thorax.azg.nl

Median sternotomy or combined multiple minimally invasive approaches are currently used to revascularize patients with multivessel coronary artery disease on the beating heart. We present here a new alternative approach for minimally invasive coronary surgery on the beating heart: the reversed-J inferior sternotomy. Through this approach, the left anterior descending, diagonal, and right coronary arteries can be revascularized via a single minimally invasive approach.




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