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Ann Thorac Surg 2005;80:350-352
© 2005 The Society of Thoracic Surgeons

How to do it

Sequential Subxyphoid and Thoracotomy Incisions With Graft Pull Through for Targeted Redo Multivessel Surgical Revascularization

Hani Shennib, MD*, Osama Benhameid, MD

Division of Cardiothoracic Surgery, Montreal General Hospital, Montreal, Quebec, Canada

Accepted for publication January 28, 2004.

* Address reprint requests to Dr Shennib, 1650 Cedar Ave, Room L9-122, Montreal General Hospital, Montreal, Quebec H3G 1A4, Canada (Email: hani.shennib{at}mcgill.ca).

We report on a technique for redo coronary artery bypass using sequential subxyphoid and left thoracotomy access and a vascular graft pull through for proximal anastomosis to the descending aorta. This technique can be used safely on the beating heart when previously implanted grafts to the anterior ventricular wall are patent or whenever resternotomy for redo multivessel coronary artery bypass is undesirable or contraindicated.






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