eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
4/2021
vol. 17
 
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abstract:
Image in intervention

Minimally invasive coronary artery bypass as an option for redo coronary surgery in a frail octogenarian

Anna Kędziora
1, 2
,
Janusz Konstanty-Kalandyk
1, 2
,
Radoslaw Litwinowicz
1, 2
,
Jacek Legutko
2, 3
,
Boguslaw Kapelak
1, 2
,
Jacek Piatek
1

1.
Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, Krakow, Poland
2.
Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
3.
Department of Interventional Cardiology, Institute of Cardiology, John Paul II Hospital, Krakow, Poland
Adv Interv Cardiol 2021; 17, 4 (66): 425–426
Online publish date: 2021/12/28
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Minimally invasive direct coronary artery bypass (MIDCAB) is a method of surgical revascularization in which the left internal mammary artery (LIMA) is harvested to graft the left anterior descending artery (LAD) through a small incision on the chest wall (Figure 1 A). The procedure is performed without cardioplegia induced cardiac arrest and allows the burden of open-chest surgery to be avoided. Previous studies have shown excellent early and long-term results for MIDCAB performed either as a single procedure for an isolated LAD lesion [1] or as a step in hybrid revascularization with percutaneous coronary intervention to other significantly stenosed arteries [2]. Nevertheless, the data for the use of MIDCAB as a method of choice for re-do cardiac surgery are sparse.
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