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Right arrow Minimally invasive surgery

Ann Thorac Surg 2003;76:919-921
© 2003 The Society of Thoracic Surgeons

Case report

Port access video-assisted proximal anastomosis with the symmetry aortic connector in MIDCABG procedure

Michal Semrad, MD, PhDa*, Martin Stritesky, MD, PhDa, Vladimir Vondracek, MD, PhDa, Jaroslav Lindner, MD, PhDa, Ivan Vanek, MD, PhDa, Jan Kristof, MDa, Michael Aschermann, MD, PhDb

a Department of Cardiovascular Surgery, Charles University Teaching Hospital, 1st Medical Faculty, Prague, Czech Republic,
b II Internal Department, Charles University Teaching Hospital, 1st Medical Faculty, Prague, Czech Republic

Accepted for publication October 27, 2002.

* Address reprint requests to Dr Semrad, Department of Cardiovascular Surgery, Charles University Teaching Hospital, 1st Medical Faculty, U nemocnice 2, 12800, Prague 2, Czech Republic.
e-mail: semrad{at}post.cz

We present an alternative way to create a video-assisted port access proximal anastomosis in the ascending aorta with the Symmetry Bypass System Aortic Connector (St. Jude Medical ATG, St. Paul, MN). This technique was successfully used in a patient undergoing urgent minimally invasive direct coronary artery bypass grafting (MIDCABG), in whom the left internal mammary artery was not harvested owing to subtotal occlusion of the left subclavian artery. Port access use of mechanical anastomotic devices may increase the indications for minimally invasive coronary artery surgery.




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