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Ann Thorac Surg 1999;68:1552-1554
© 1999 The Society of Thoracic Surgeons


Supplement: Minimally Invasive Cardiac Surgery

Totally endoscopic myocardial revascularization: an experimental study

Gennady P. Vlassov, MD, PhDa, Nikolay O. Travine, MD, PhDa, Konstantine S. Deyneka, MDa, Alexander S. Ermolov, MD, PhDa, Maxim B. Belinskiy, MDa, Semen D. Klimovskiy, MDa, Igor V. Zhuravlev, MDa

a Sclifosovsky Scientific Emergency Center, Moscow, Russia

Address reprint requests to Dr Travine, Moskva, D. Bednogo, 17-3-222 123423 Russia
e-mail: dndkosty{at}cityline.ru

Presented at Evolving Techniques and Technologies in Minimally Invasive Cardiac Surgery, San Antonio, TX, Jan 22–23, 1999.

Abstract

Background. The purpose of this study was to examine the feasibility of performing totally endoscopic myocardial revascularization through the abdominal cavity.

Methods and Results. The right gastroepiploic artery was harvested endoscopically through three troacars in 46 human cadavers. Then, a 5-cm hole was made in the diaphragm to expose the right coronary artery. With the help of two vacuum pods, we fixed a site of the right coronary artery and made a right gastroepiploic artery-right coronary artery anastomosis. In 20 cases, continuous Prolene suture was used, and in 26 experiments, we applied a sutureless technique. Twenty-three anastomosis were patent.

Conclusions. Despite the low patency rate, the transabdominal approach of totally endoscopic bypass grafting is promising and demands further investigation.




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