Sakai Hiroki, Kikuchi Keita, Masuda Kaito, Sai Yoshun, Yoshino Kunihiko, Ito Joji
Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan.
Ann Thorac Surg Short Rep. 2023 Dec 12;2(2):231-233. doi: 10.1016/j.atssr.2023.11.022. eCollection 2024 Jun.
Minimally invasive coronary artery bypass grafting is becoming standardized; however, its small incision may result in a limited field of view. Challenges arise in performing left atrial appendage resection and pulmonary vein isolation from the same incision, whereas safety and feasibility are not well documented. Our report demonstrates safe achievement of left atrial appendage resection and pulmonary vein isolation from the same minimally invasive coronary artery bypass grafting wound site with a good surgical field of view. In addition, we present an intraoperative positional change technique for right-sided pulmonary vein isolation.
微创冠状动脉旁路移植术正逐渐标准化；然而，其小切口可能导致视野受限。在通过同一切口进行左心耳切除和肺静脉隔离时会出现挑战，而安全性和可行性尚未得到充分记录。我们的报告展示了从同一个微创冠状动脉旁路移植术伤口部位安全地完成左心耳切除和肺静脉隔离，且具有良好的手术视野。此外，我们还介绍了一种用于右侧肺静脉隔离的术中体位改变技术。
