Subramanian V A, Patel N U
Lenox Hill Hospital, New York, NY, USA.
Eur J Cardiothorac Surg. 2000 Apr;17(4):485-7. doi: 10.1016/s1010-7940(00)00369-9.
The major limitations of current minimally invasive direct coronary artery bypass (MIDCAB) techniques are multivessel and distal vessel disease frequently seen in patients with extensive stent restenosis ('full metal jacket syndrome') and reoperative surgery. Two separate minimal access incisions (minithoracotomy, lower partial sternotomy) have been used to bypass two separate arteries (left internal mammary artery (LIMA) to left anterior descending (LAD), right gastroepiploic artery (RGEA) to posterior descending artery (PDA)). To bypass multiple coronary arteries using multiple arterial conduits without violation of bony parts, we use a new minimal access incision by 'transabdominal approach'.
当前微创直接冠状动脉旁路移植术（MIDCAB）技术的主要局限性在于，在广泛支架再狭窄（“全金属夹克综合征”）患者和再次手术患者中常见的多支血管病变和远端血管病变。已采用两个单独的微创切口（微创开胸术、下部部分胸骨切开术）来绕过两条单独的动脉（左乳内动脉（LIMA）至左前降支（LAD）、右胃网膜动脉（RGEA）至后降支动脉（PDA））。为了使用多条动脉移植物绕过多支冠状动脉而不侵犯骨骼部分，我们采用“经腹入路”的新微创切口。
