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Tea E. Acuff
Rodney J. Landreneau
Bartley P. Griffith
Michael J. Mack
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Ann Thorac Surg 1996;61:135-137
© 1996 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Minimally Invasive Coronary Artery Bypass Grafting

Tea E. Acuff, MD, Rodney J. Landreneau, MD, Bartley P. Griffith, MD, Michael J. Mack, MD

Division of Cardiothoracic Surgery, Medical City Dallas Hospital, Dallas, Texas, and Division of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania

Accepted for publication September 9, 1995.

Background. Standard options for the invasive management of proximal disease of the left anterior descending coronary artery include coronary artery bypass grafting with a left internal mammary artery and percutaneous transluminal coronary angioplasty.

Methods. We describe a surgical technique for bypass of the left anterior descending coronary artery with a left internal mammary artery without median sternotomy and without cardiopulmonary bypass. Thoracoscopy is used to harvest the internal mammary artery, whereas the mammary-coronary artery anastomosis is performed un-der direct vision through a limited anterior thoracotomy.

Results. We have performed this procedure successfully in 3 patients with minimal morbidity and shortened hospital stay. Average operative time was 3 hours and postoperative hospital stay averaged less than 48 hours.

Conclusions. Although experience is limited and follow-up is very short, with further experience, this less invasive surgical technique may become a viable option for the management of proximal left anterior descending disease.




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Complete Direct Mammary Harvest for Minimally Invasive Coronary Artery Bypass
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[Abstract] [Full Text]

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 Ann. Thorac. Surg.Home page
M. B. Izzat and A. P. C. Yim
Cardiac Stabilizer for Minimally Invasive Direct Coronary Artery Bypass
Ann. Thorac. Surg., August 1, 1997; 64(2): 570 - 571.
[Abstract] [Full Text]

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 CirculationHome page
L. C. Siegel, F. G. St. Goar, J. H. Stevens, M. F. Pompili, T. A. Burdon, B. A. Reitz, and W. S. Peters
Monitoring Considerations for Port-Access Cardiac Surgery
Circulation, July 15, 1997; 96(2): 562 - 568.
[Abstract] [Full Text]

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 Ann. Thorac. Surg.Home page
M. B. Izzat and A. P. C. Yim
Didn't They Do Well?
Ann. Thorac. Surg., July 1, 1997; 64(1): 1 - 2.
[Full Text]

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 J. Thorac. Cardiovasc. Surg.Home page
D. S. Schwartz, G. H. Ribakove, E. A. Grossi, J. D. Schwartz, P. M. Buttenheim, F. G. Baumann, S. B. Colvin, and A. C. Galloway
SINGLE AND MULTIVESSEL PORT-ACCESS CORONARY ARTERY BYPASS GRAFTING WITH CARDIOPLEGIC ARREST: TECHNIQUE AND REPRODUCIBILITY
J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 46 - 52.
[Abstract] [Full Text]

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 Ann. Thorac. Surg.Home page
H. Shennib, M. J. Mack, and A. G. L. Lee
A Survey on Minimally Invasive Coronary Artery Bypass Grafting
Ann. Thorac. Surg., July 1, 1997; 64(1): 110 - 114.
[Abstract] [Full Text]

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 Ann. Thorac. Surg.Home page
R. Luise, G. Teodori, G. Di Giammarco, E. D'Annunzio, L. Paloscia, A. Barsotti, S. Gallina, M. Contini, G. Vitolla, and A. M. Calafiore
Persistence of Mammary Artery Branches and Blood Supply to the Left Anterior Descending Artery
Ann. Thorac. Surg., June 1, 1997; 63(6): 1759 - 1764.
[Abstract] [Full Text]

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 Ann. Thorac. Surg.Home page
R. S. Hartz and R. R. Heuser
Embolization of IMA Side Branch for Post-CABG Ischemia
Ann. Thorac. Surg., June 1, 1997; 63(6): 1765 - 1766.
[Abstract] [Full Text]

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 Ann. Thorac. Surg.Home page
W. L. Knight, C. E. Baisden, and C. G. Reiter
Minimally Invasive Axillary-Coronary Artery Bypass
Ann. Thorac. Surg., June 1, 1997; 63(6): 1776 - 1777.
[Abstract] [Full Text]

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 J. Thorac. Cardiovasc. Surg.Home page
R. J. Moreno-Cabral
Mini-T sternotomy for cardiac operations
J. Thorac. Cardiovasc. Surg., April 1, 1997; 113(4): 810 - 811.
[Full Text]

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 SURG INNOVHome page
M. Mack and R. Landreneau
Minimally Invasive Cardiac Surgery
Surgical Innovation, December 1, 1996; 3(4): 259 - 267.
[Abstract] [PDF]

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 Ann. Thorac. Surg.Home page
F. B. Jatene, P. M. Pego-Fernandes, M. J. Mack, and T. E. Acuff
Minimally invasive bypass.
Ann. Thorac. Surg., December 1, 1996; 62(6): 1883 - 1884.
[Full Text]

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 Ann. Thorac. Surg.Home page
A. M. Calafiore, G. D. Angelini, J. Bergsland, and T. A. Salerno
Minimally Invasive Coronary Artery Bypass Grafting
Ann. Thorac. Surg., November 1, 1996; 62(5): 1545 - 1548.
[Abstract] [Full Text]

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 Ann. Thorac. Surg.Home page
K. Saatvedt, M. Dragsund, K. Nordstrand, E. Buffolo, and T. E. Acuff
Mini-Invasive Coronary Artery Bypass Grafting: The Feiring Method
Ann. Thorac. Surg., October 1, 1996; 62(4): 1244 - 1245.
[Full Text]

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 Ann. Thorac. Surg.Home page
C. Mavroudis
VATS ASD Closure: A Time Not Yet Come
Ann. Thorac. Surg., September 1, 1996; 62(3): 638 - 639.
[Full Text]

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 Ann. Thorac. Surg.Home page
S. Westaby and F. J. Benetti
Less Invasive Coronary Surgery: Consensus From the Oxford Meeting
Ann. Thorac. Surg., September 1, 1996; 62(3): 924 - 931.
[Full Text]

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 Ann. Thorac. Surg.Home page
A. M. Calafiore, G. Di Giammarco, G. Teodori, G. Bosco, E. D'Annunzio, A. Barsotti, N. Maddestra, L. Paloscia, G. Vitolla, A. Sciarra, et al.
Left Anterior Descending Coronary Artery Grafting via Left Anterior Small Thoracotomy Without Cardiopulmonary Bypass
Ann. Thorac. Surg., June 1, 1996; 61(6): 1658 - 1663.
[Abstract] [Full Text]


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