Minimally Invasive Coronary Surgery with Thoracoscopic Internal Mammary Artery Dissection: Surgical Technique

Abstract

This new procedure enlarges the field of minimally invasive coronary artery bypass grafting techniques.

Coronary Bypass Grafting Without Cardiopulmonary Bypass - Technical Considerations, Clinical Results, and Follow-up

“…New limited approaches have been introduced as described by Subramanian (4) and Calafwre (5). Furthermore, endoscopically guided techniques as reported by Nataf (6) and Mack (7) can make limited-access surgery easier and so achieve further reduction of invasiveness. During the past two years some of these techniques became standardized and are now widely accepted (8,9,10).…”

Totally endoscopic off-pump bilateral internal thoracic artery bypass grafting

“…This approach remained mandatory in case of multiple vessels grafting, often by the mean of a left anterior small thoracotomy. ITAs were first dissected using 2D thoracoscopes [5]. The anastomoses were then made under direct view through the thoracotomy.…”

History of thoracoscopic surgery in Japan and the world

“…Thoracoscopic dissection of the internal thoracic artery is technically feasible. 46 Duhaylongsod et al 47 reported the results of harvesting thoracoscopic mammary arteries at three institutions. Of 218 patients, the mammary artery was injured in 4 patients (1.8%), and the procedure was converted to sternotomy in 18 (8%).…”