Weerasinghe Arjuna, Bahrami Toufan
Department of Cardiothoracic Surgery, The London Chest Hospital, Bonner Road, London EC2, UK.
Interact Cardiovasc Thorac Surg. 2005 Dec;4(6):523-5. doi: 10.1510/icvts.2005.109231. Epub 2005 Sep 30.
Minimally invasive direct coronary artery bypass grafting utilising an anterior mini-thoracotomy has traditionally been limited to surgical revascularisation for single or double vessel coronary disease. The widespread use of percutaneous coronary intervention has further limited the use of this technique. Minimally invasive direct coronary artery bypass grafting offers the advantage of avoiding a sternotomy, in patients with a higher risk of sternal wound dehiscence and infection. We have used bilateral anterior mini-thoracotomy in conjunction with bilateral internal mammary and radial artery conduits, allowing an aortic no-touch technique, on the off-pump heart in two patients.
传统上，采用前外侧小切口的微创直接冠状动脉旁路移植术仅限于对单支或双支冠状动脉疾病进行手术血运重建。经皮冠状动脉介入治疗的广泛应用进一步限制了该技术的使用。微创直接冠状动脉旁路移植术具有避免胸骨切开的优点，适用于胸骨伤口裂开和感染风险较高的患者。我们对两名患者在非体外循环心脏上，采用双侧前外侧小切口联合双侧胸廓内动脉和桡动脉血管桥，实现了主动脉非接触技术。
