Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Multimed Man Cardiothorac Surg. 2024 Jul 15;2024. doi: 10.1510/mmcts.2024.012.
Minimally invasive coronary surgery offers benefits to the patient. Besides the anterior wall, the lateral and inferior walls can be reached through a small thoracotomy with off-pump techniques. Thoracoscopic coronary identification can be very useful in these multivessel procedures. Positioning the heart without cardiopulmonary bypass can be challenging. We describe our technique for off-pump positioning and for grafting the right posterior descending coronary artery.
微创冠状动脉手术为患者带来益处。除了前壁,通过非体外循环技术的小开胸术还可以到达侧壁和下壁。胸腔镜下冠状动脉识别在这些多血管手术中非常有用。在不使用体外循环的情况下定位心脏可能具有挑战性。我们描述了我们的非体外循环定位技术和右后侧降支冠状动脉搭桥术。