To the content
4 . 2016

Off-pump revascularization with a bilateral internal mammary artery via left minithoracotomy

Abstract

Coronary artery bypass grafting (CABG) is a common procedure in cardiac surgery nowadays. Majority of the procedures are performed via conventional stermotomy which have been introduced in 1957. In order to improve the results of the procedures bilateral internal mammary harvesting was implemented. The first coronary artery bypass grafting with bilateral internal mammary arteries through the two inches incision on the chest were performed by Dr. P. Nam- bair. The method got its name – «Nambiar Technique» – and was presented at The International Society of Minimally Invasive Cardiac Surgery Annual Meeting in Los Angeles (USA) in 2012. The method was considered to be the method of the future in cardiac surgery. In the report we are presenting a case of revascularization with a bilateral internal mammary artery via left minithoracotomy. 

Keywords:сoronary artery bypass grafting (CABG), minithoracotomy, minimally invasive cardiac surgery (MICS)

Clin. Experiment. Surg. Petrovsky J. 2016. № 4. Р. 27–30.

Received: 17.10.2016. Accepted: 30.10.2016. 

References

1. Zen'kov A.A. Effectiveness of minimally invasive revascularization of myocardium excluding procedure on aorta. Evraziyskiy kardiologicheskiy zhurnal [Euroasian Cardiology Journal]. 2014; Vol. 3: 42–50. (in Russian)

2. Zen'kov A.A., Ostrovsky Yu.P. The results of full minimally invasive revascularization // Novosti khirurgii [News of Surgery]. 2012; Vol. 5 (N 20): 11–7. (in Russian)

3. Kolesov V.I. The first experience of treatment of ischemic heart disease by performing coronary artery bypass. Kardiologiya [Cardiology]. 1967; Vol. 4: 20–5. (in Russian)

4. Calafiore A. M. Minimally invasive coronary artery bypass grafting. Ann Thorac Surg. 1996; Vol. 62 (N. 5): 1545–8.

5. Calafiore A.M., Angelini G.D., Bergsland J., Salerno T.A. Minimally invasive coronary artery bypass grafting. Ann Thorac Surg. 1996; Vol. 62: 1545–8.

6. Cheng D.C. Evidence-Based Perioperative Clinical Out- comes Research Group. Does off-pump coronary artery bypass reduce mortality, morbidity, and resource utilization when compared with conventional coronary artery bypass? A meta-analysis of randomized trials Anesthesiology. 2005; Vol. 102 (N 1): 188–203.

7. Chu D., et al. On pump versus off-pump coronary artery bypass grafting in a cohort of 63,000 patients. Ann Thorac Surg. 2009; Vol. 87 (N 6): 1820–26.

8. Julian O.C., Lopez-Belio M., Dye W.S. The median sternal incision in intracardiac surgery with extracorporeal circulation: a general evaluation of it’s use in heart surgery. Surgery. 1957; Vol. 42: 753–62.

9. McGinn J.T. Jr., Usman S., Lapierre H., et al. Minimally invasive coronary artery bypass grafting: Dual center experience in 450 consecutive patients. Circulation. 2009; Vol. 118: 78–84.

10. McGinn J.T. Jr., Massod A. Shariff, John P. Abotaga P., et al. Minimally invasive CABG is safe and reproducible: report on the first thousand cases. 14 ISMICS Annual Scientific Meeting. Boston, 28–31 May 2014.

11. Nambiar P., Kailash S. Coronary artery bypass grafting – is it time to do away with Sternotomy? 15 ISMICS Annual Scientific Meeting. Berlin, 3–6 June 2015.

12. Nambiar P., Chandermohan M. Minimally invasive direct Right Internal thoracic artery harvesting and multivessel total arterial CABG using BITAS through a left minithoracotomy without robotic or thoracoscopic assistance. 13 ISMICS Annual Scientific Meeting. Prague, 12–15 June 2013. 

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

Journals of «GEOTAR-Media»