Document Detail

A novel internal thoracic artery harvesting technique via subxiphoid approach--for the least invasive coronary artery bypass grafting.
MedLine Citation:
PMID:  19720658     Owner:  NLM     Status:  MEDLINE    
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.
Munehisa Takata; Go Watanabe; Teruaki Ushijima; Norihiko Ishikawa
Related Documents :
12538118 - Midterm angiographic results of off-pump coronary artery bypass grafting.
1972298 - Expanded use of internal mammary artery graft for myocardial revascularization.
16645418 - Rotational atherectomy in the distal left anterior descending coronary artery through a...
2898558 - Angiographic studies of internal mammary artery grafts 11 years after coronary artery b...
1745858 - Pneumoperitoneum in a patient with lymphangiomyomatosis.
18575288 - Pre-operative evaluation with magnetic resonance imaging in tetralogy of fallot and pul...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-31
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-15     Completed Date:  2009-12-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  891-2     Citation Subset:  IM    
Division of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Coronary Artery Bypass*
Coronary Artery Disease / etiology,  surgery*
Mammary Arteries / transplantation*
Mucocutaneous Lymph Node Syndrome / complications,  surgery
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

Previous Document:  A strategy for safe sternal reentry in patients with pseudoaneurysms of the ascending aorta using th...
Next Document:  Complicated ruptured sinus of Valsalva: cardiac computed tomographic angiography (64 slice) predicts...