Document Detail


Minimally invasive axillary-coronary artery bypass.
MedLine Citation:
PMID:  11074979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Some patients with proximal obstructive lesions of the left anterior descending coronary artery who are suitable for minimally invasive coronary bypass surgery do not have an available left internal mammary artery because it has already been used for a graft, is diseased or has been damaged. The ascending aorta is not accessible for proximal graft anastomosis from a small anterolateral thoracotomy used to expose the coronary artery. The aim of this report is to show that the axillary artery is suitable for the proximal anastomosis in minimally invasive coronary bypass operations. METHODS: Ten patients had minimally invasive axillary-coronary artery bypass to the anterior descending coronary artery. Cardiopulmonary bypass was not used. The saphenous vein was used in nine and the radial artery in one. RESULTS: Satisfactory grafts were achieved in all patients without mortality or major complications. CONCLUSION: Grafts from the axillary artery can be used successfully for minimally invasive bypass to the anterior descending coronary artery.
Authors:
J B Flege; R K Wolf
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  3     ISSN:  1098-3511     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2000  
Date Detail:
Created Date:  2006-04-26     Completed Date:  2006-05-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-40; discussion 240     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, The Christ Hospital, Cincinnati, Ohio, USA. john_flege@trihealth.com
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Axillary Artery / transplantation*
Coronary Angiography
Coronary Artery Bypass / methods*
Coronary Disease / radiography,  surgery*
Female
Follow-Up Studies
Humans
Male
Surgical Procedures, Minimally Invasive / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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