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Ann Thorac Surg 2000;70:1734-1735
© 2000 The Society of Thoracic Surgeons

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Three-dimensional computed tomography for reoperative minimally invasive coronary artery bypass

Toshiya Ohtsuka, MDa, Masaaki Akahane, MDb, Kuni Ohtomo, MDb, Yutaka Kotsuka, MDa, Shinichi Takamoto, MDa

a Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan
b Department of Radiology, University of Tokyo, Tokyo, Japan

Address reprint requests to Dr Ohtsuka, Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
e-mail: ohtsuka-tho{at}h.u-tokyo.ac.jp

We have been using three-dimensional computed tomography (3-D CT) in reoperative coronary artery bypass grafting performed by using a minimally invasive approach. Preoperative 3-D CT scanning can provide beneficial anatomical information about old patent grafts as well as the internal thoracic artery. Thus a mini-thoracotomy can be created at an optimal site, leaving the old graft untouched, and the length of the harvested internal thoracic artery, necessary for the bypass, can be assessed using this new modality.




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