Integrated minimally invasive direct coronary artery bypass grafting and angioplasty for coronary artery revascularization

  • Cisowski M
  • Morawski W
  • Drzewiecki J
 et al. 
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Abstract

Objective: Minimally invasive direct coronary artery bypass (MIDCAB) through the anterolateral minithoracotomy has become a promising therapeutic option in patients with lesion in left anterior descending artery (LAD), especially in multimorbid, elderly and reoperated patients with type C or B lesions. To expand the benefits of MIDCAB concept to patients with multivessel disease, a hybrid myocardial revascularization procedure (HMR) combining surgery of the LAD with interventional procedures for additional coronary lesions has recently been introduced. Methods: Between January 1999 and September 2001, 50 patients (37 male, 13 female, mean age 54.8±20.1 years) underwent an HMR procedure. MIDCAB with endoscopic left internal thoracic artery (LITA) harvesting, followed by percutaneous coronary intervention (PCI) for additional coronary lesions and percutaneous transluminal coronary angioplasty (PTCA), was performed in 11 patients (22%) and stenting in 39 patients (78%). Angiographic assessment of graft patency was performed in all patients during the PCI procedure. The clinical follow-up period was 3-32 months. Results: There were no early and late deaths. Baseline Canadian Cardiology Society (CCS) class was 2.8±0.7 versus 1.1±0.9 (P

Author-supplied keywords

  • Hybrid myocardial revascularization
  • Minimally invasive coronary artery bypass
  • Percutaneous transluminal coronary angioplasty

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Authors

  • Marek Cisowski

  • Wlodzimierz Morawski

  • Janusz Drzewiecki

  • Wojciech Kruczak

  • Krzysztof Toczek

  • Jaroslaw Bis

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