Division of Cardiac Surgery and Transplantology, Silesian Center for Heart Diseases, Zabrze, Poland;
Ann Cardiothorac Surg. 2013 Jul;2(4):565-9. doi: 10.3978/j.issn.2225-319X.2013.07.11.
Minimally invasive coronary artery bypass grafting via left anterior small thoracotomy is routinely performed on patients with single coronary artery disease, but recently has been expanded to a larger population as a part of a hybrid treatment in multivessel coronary artery disease. While the methods of internal mammary artery harvesting used in these operations can be different, the endoscopic method is more advantageous than operations performed by direct vision, and thus should be used as a technique of choice. In this article, we present detailed description of endoscopic mammary artery harvesting focusing on anatomical and technical aspects.
经左前小切口微创冠状动脉旁路移植术通常用于单支冠状动脉疾病患者,但最近已扩展到多支冠状动脉疾病的杂交治疗中。虽然这些手术中使用的内乳动脉采集方法可能不同,但内窥镜方法比直接视觉操作更有利,因此应作为首选技术。本文详细介绍了内窥镜乳内动脉采集的解剖学和技术方面。