Robotically Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass Grafting With the Use of Bilateral Internal Thoracic Arteries

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概要

• 論文の詳細を見る

• This case report presents the robotically assisted multivessel minimally invasive direct coronary artery bypass grafting (MIDCAB) technique using the bilateral internal thoracic arteries. A 54-year-old man with multivessel coronary artery disease was considered eligible for a robotically assisted myocardial revascularization. The bilateral internal thoracic arteries were harvested completely in a totally skeletonized fashion through three 1-2-cm-long incisions on the left thoracic wall. A small left anterior thoracotomy was then performed. The left internal thoracic artery was anastomosed to the left anterior descending coronary artery, and the composite radial artery graft from the right internal thoracic artery was sequentially anastomosed to the first diagonal branch, the obtuse marginal branch, and the distal right coronary artery on the beating heart without cardiopulmonary bypass. The harvesting time of the grafts was 66min, and the total operative time was 5h 58min. Postoperative angiography revealed that all grafts were widely patent. The postoperative course was uneventful, and the patient was discharged 10 days after the operation. Robotically assisted MIDCAB using the bilateral thoracic arteries is a safe and effective means of myocardial revascularization for patients with multivesssel disease.

• 社団法人日本循環器学会の論文
• 2007-08-20

著者

• WATANABE GO

  Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine

• Kawachi Kenji

  Division Of Cardiac Surgery Tokyo Medical University

• Nishida Satoru

  Division Of Cardiac Surgery Tokyo Medical University

• ITO Shigeki

  Division of Hematology, Third Department of Internal Medicine, Iwate Medical University School of Me

• Watanabe Go

  Department Of Applied Physics Graduate School Of Science And Engineering Waseda University

• Watanabe Go

  Department Of Thoracic & Cardiovascular Surgery Kanazawa University Hospital

• Yasuda Tamotsu

  Division of Cardiac Surgery, Tokyo Medical University

• Kikuchi Yujiro

  Division of Cardiac Surgery, Tokyo Medical University

• Shintani Yoshiko

  Division of Cardiac Surgery, Tokyo Medical University

• Tabata Shigeki

  Division of Cardiac Surgery, Tokyo Medical University

• WATANABE Go

  Division of Cardiac Surgery, Tokyo Medical University

• Ito Shigeki

  Division Of Cardiac Surgery Tokyo Medical University

• Yasuda Tamotsu

  Tokyo Medical Universty

• Tomita Shigeyuki

  Department Of General And Cardiothoracic Surgery Kanazawa University School Of Medicine

• Kikuchi Yujiro

  Division Of Cardiac Surgery Tokyo Medical University

• Yasuda Tamotsu

  Division Of Cardiac Surgery Tokyo Medical University

• Watanabe Go

  Department Of General And Cardiothoracic Surgery Kanazawa University Hospital

• Watanabe Go

  Department Of Surgery Kanazawa University Hospital

• Watanabe Go

  Division Of Cardiac Surgery Tokyo Medical University

• Shintani Yoshiko

  Division Of Cardiac Surgery Tokyo Medical University

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