| A novel internal thoracic artery harvesting technique via subxiphoid approach--for the least invasive coronary artery bypass grafting. | |
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MedLine Citation:
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PMID: 19720658 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We have performed 12 cases of robotically assisted coronary artery bypass grafting (CABG) to accomplish less invasive revascularization. In this report, we describe a new method of robotically assisted internal thoracic artery (ITA) harvesting via subxiphoid approach, using the da Vinci surgical system. A 22-year-old man with three-vessel coronary artery disease due to Kawasaki disease was referred to our institution for coronary artery revascularization. A small subxiphoid incision was made, and the xiphoid process at the lower end of the sternum was excised. A U-shaped hook was inserted into the retrosternal space, and the lower sternum was lifted. A 30 degrees angle-up camera was inserted under the U-shaped hook, bilateral ITAs were harvested in a totally skeletonized fashion endoscopically. The required time for right ITA harvesting was 50 min, and that for the left was 20 min. After bilateral ITAs were harvested, composite grafts were made, and then the distal anastomoses were made. The patient was discharged six days after the operation. We performed a new robotically assisted bilateral ITA harvesting technique via sub-xiphoid safely and with excellent results. This method might be an evolutionary step of minimally invasive direct coronary artery bypass (MIDCAB) using the da Vinci surgical system. |
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Authors:
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Munehisa Takata; Go Watanabe; Teruaki Ushijima; Norihiko Ishikawa |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-08-31 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 9 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-15 Completed Date: 2009-12-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 891-2 Citation Subset: IM |
Affiliation:
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Division of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan. takatamunehisa0223@yahoo.co.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Artery Bypass* Coronary Artery Disease / etiology, surgery* Humans Male Mammary Arteries / transplantation* Mucocutaneous Lymph Node Syndrome / complications, surgery Robotics* Severity of Illness Index Surgery, Computer-Assisted* Surgical Procedures, Minimally Invasive Tissue and Organ Harvesting / methods* Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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