Mavioglu Ilhan
Cardiovascular Surgery, Cardiac Surgical Clinic of Private Cardiac Surgeons (CSCPCS), Istanbul, Turkey.
Innovations (Phila). 2023 Jul-Aug;18(4):376-379. doi: 10.1177/15569845231185333. Epub 2023 Jul 18.
Minimally invasive direct coronary artery bypass has empowered coronary artery bypass grafting to compete with the appeal of percutaneous coronary procedures. Successful results of off-pump coronary artery bypass surgery and without touching the aorta have facilitated the development and use of minimally invasive methods. Multivessel coronary bypass surgery performed using a minimally invasive method through a small thoracotomy in the left chest with off-pump, anaortic, and all-arterial grafts is described step by step. Technical considerations, description of operation stages, and tips and pitfalls will be examined. A 64-year-old male patient with no known comorbidities except smoking revealed 3 vessels and a side vessel disease, and the heart team decided on surgical revascularization with a low-risk procedure. Experienced surgeons may perform this operation successfully, and the development of efficient simulation systems will increase its use.
微创直接冠状动脉旁路移植术使冠状动脉旁路移植术能够与经皮冠状动脉介入治疗相媲美。非体外循环冠状动脉旁路移植手术且不触及主动脉的成功结果推动了微创方法的发展和应用。本文逐步描述了通过左胸小切口采用非体外循环、非主动脉及全动脉移植物的微创方法进行多支冠状动脉旁路移植手术。将探讨技术要点、手术阶段描述以及技巧和陷阱。一名64岁男性患者，除吸烟外无其他已知合并症，显示有三支血管及一支侧支血管病变，心脏团队决定采用低风险手术进行血运重建。经验丰富的外科医生可以成功实施该手术，高效模拟系统的开发将增加其应用。
