Document Detail

A minimally invasive alternative approach for reoperative grafting of the right coronary artery.
MedLine Citation:
PMID:  12546074     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Target vessel revascularization on a beating heart via a mini subxiphoid incision, not only eliminates the hazards of sternal reentry, but also avoids the detrimental systemic effects of extracorporeal circulation. AIM: The goal of the study was to develop and describe a safe and effective method to revascularize the right coronary artery in reoperative cases, using beating heart and minimally invasive techniques in lieu of the RGEA. METHODS: There were three men and four women with a mean age of 69 years; four were second time reoperations and three third time reoperations. Through a subxiphoid approach, a lower ministernotomy is performed. Once the coronary target is established, a Rultract retractor is used to gently elevate the right half of the sternum to take down the RITA. A mechanical stabilizer was used to provide stabilization for distal anastamoses. Flow was measured in all the grafts with the Medi-Stim before and after protamine administration. RESULTS: [table: see text] CONCLUSION: We believe that this technique provides another effective approach to the patient who requires reoperative coronary revascularization of the RCA.
Reginald Abraham; Marco Ricci; Tomas Salerno; Paul Kerr
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  17     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2002 Jul-Aug
Date Detail:
Created Date:  2003-01-27     Completed Date:  2003-05-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  289-91     Citation Subset:  IM    
Division of Cardiothoracic Surgery, State University of New York at Buffalo, New York, USA.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical
Complementary Therapies*
Coronary Artery Bypass
Coronary Vessels / surgery*
Mammary Arteries / surgery*
Middle Aged
Myocardial Ischemia / surgery
Surgical Procedures, Minimally Invasive*
Treatment Outcome

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

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