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Ann Thorac Surg 2000;69:1276-1277
© 2000 The Society of Thoracic Surgeons

HOW TO DO IT

Mini-sternotomy for off-pump coronary artery bypass grafting

Artur Lichtenberg, MDa, Uwe Klima, MDa, Wolfgang Harringer, MDa, Peter Y. Kim, MDa, Axel Haverich, MDa

a Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany

Address reprint requests to Dr Lichtenberg, Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, 30623 Hannover, Germany
e-mail: lichtenberg{at}thg.mh-hannover

The number of off-pump coronary artery bypass grafting procedures without cardiopulmonary bypass is steadily increasing. We report on a new, minimally invasive surgical approach for off-pump coronary revascularization in multivessel disease. A distal sternotomy is performed to gain access to the left and right internal thoracic arteries and to reach the left anterior descending coronary artery, diagonal branches, and right coronary artery for off-pump revascularization.






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