Document Detail

Minimally invasive direct coronary artery bypass (MIDCAB).
MedLine Citation:
PMID:  11173347     Owner:  NLM     Status:  MEDLINE    
Recently, coronary artery bypass graft without cardiopulmonary bypass, which is named minimally invasive coronary artery bypass, has received attention from cardiac surgeons. In 1996, Calafiore introduced left anterior small thoracotomy (LAST) for coronary artery revascularization. Today, this procedure is named minimally invasive direct coronary artery bypass graft (MIDCAB) and presented in many clinical reports because of its less invasiveness and economic advantage. MIDCAB is performed on LITA to LAD by LAST as a standard procedure. Now, this technique has been modified in many ways so that bypass surgery can be performed on RGEA to RCA or on circumflex artery by mini-sternotomy. Multiple-branch bypass surgery has been performed in an increasing number of patients. MIDCAB has technical difficulties to ablate the internal artery for providing bypass, with an extremely small wound left, and to reconstruct complete blood flow with this technique alone. However, combination of MIDCAB with intervention could provide reconstruction of favorable blood flow. This paper deals with the indication, surgical procedure, problems and future views of MIDCAB.
Y Watanabe ; N Koyama
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  6     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-04-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  356-60     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine, 6-11-1 Ohmori-nishi, Ohta-ku, Tokyo 143-8541, Japan.
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MeSH Terms
Aged, 80 and over
Coronary Artery Bypass / methods*
Middle Aged
Surgical Procedures, Minimally Invasive
Thoracic Arteries / surgery
Thoracotomy / methods

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