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Kagami Miyaji
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Ann Thorac Surg 1999;68:234-235
© 1999 The Society of Thoracic Surgeons

Case Reports

Minimally invasive direct coronary artery bypass using H graft for pleural symphysis

Kagami Miyaji, MDa, Randall K. Wolf, MDa, John B. Flege, Jr, MDa

a Department of Cardiac Surgery, The Christ Hospital and University of Cincinnati, Cincinnati, Ohio, USA

Address reprint requests to Dr Wolf, Cardiovascular and Thoracic Surgeons, Inc, 2123 Auburn Ave, Suite 401, Cincinnati, OH 45219

In November 1995, video-assisted minimally invasive direct coronary artery bypass procedure, which is defined as a combination of the thoracoscopic internal mammary artery (IMA) harvest and direct coronary bypass grafting, was introduced for patients who need minimally invasive direct coronary artery bypass (MIDCAB) using IMA. In the thoracoscopic IMA harvest, the pleural adhesions or symphysis present an obstacle. We present a case where a redo patient who had complete pleural symphysis of left chest cavity precluded the thoracoscopic IMA harvest, and MIDCAB with the H graft procedure was performed.




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 Ann. Thorac. Surg.Home page
A. S. Coulson, S. A. Bakhshay, T. J. Sloan, and M. F. Borges
Minimally invasive direct coronary artery bypass controversy: the truly minimally invasive coronary artery bypass versus the ""H"" graft
Ann. Thorac. Surg., April 1, 2000; 69(4): 1297 - 1298.
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