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Minimally Invasive Coronary Artery Bypass Grafting

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Cardiac Surgery

Abstract

Minimally invasive cardiac surgery has emerged as a safe alternative to standard cardiac surgery. In its earlier phase, minimally invasive coronary artery bypass grafting (CABG) required the adherence to a number of absolute and relative contraindications. The technique continues to evolve, and in addition to multi-vessel revascularization, bilaterally internal thoracic artery take down is currently feasible to allow for multi-arterial grafting. Evidence is emerging that minimally invasive CABG maintains equivocal safety profile to full sternotomy CABG, while providing superior morbidity profile and postoperative recovery. Further randomized controlled trials involving the comparison between minimally invasive CABG and percutaneous coronary intervention or conventional CABG would widen the applicability and utilization of the procedure. This chapter will review the literature that has been published over the past decade about minimally invasive CABG and the technical aspects of the procedure.

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References

  1. Cohn LH, Adams DH, Couper GS, Bichell DP, Rosborough DM, Sears SP, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg. 1997;226:421–8.

    Article  CAS  Google Scholar 

  2. Grossi EA, Galloway AC, Ribakove GH, Buttenheim PM, Esposito R, Baumann FG, et al. Minimally invasive port access surgery reduces operative morbidity for valve replacement in the elderly. Heart Surg Forum. 1999;2:212–5.

    CAS  PubMed  Google Scholar 

  3. Ruel M, Une D, Bonatti J, McGinn JT. Minimally invasive coronary artery bypass grafting: is it time for the robot? Curr Opin Cardiol. 2013;28:639–45.

    Article  Google Scholar 

  4. McGinn JT Jr, Usman S, Lapierre H, Pothula VR, Mesana TG, Ruel M. Minimally invasive coronary artery bypass grafting: dual-center experience in 450 consecutive patients. Circulation. 2009;120:S78–84.

    Article  Google Scholar 

  5. Ruel M, Shariff MA, Lapierre H, Goyal N, Dennie C, Sadel SM, et al. Results of the minimally invasive coronary artery bypass grafting angiographic patency study. J Thorac Cardiovasc Surg. 2014;147:203–8.

    Article  Google Scholar 

  6. Nambiar P, Mittal C. Minimally invasive coronary bypass using internal thoracic arteries via a left minithoracotomy: “the Nambiar Technique”. Innovations (Phila). 2013;8:420–6.

    Article  Google Scholar 

  7. Une D, Lapierre H, Sohmer B, Rai V, Ruel M. Can minimally invasive coronary artery bypass grafting be initiated and practiced safely?: a learning curve analysis. Innovations (Phila). 2013;8:403–9.

    Article  Google Scholar 

  8. Rabindranauth P, Burns JG, Vessey TT, Mathiason MA, Kallies KJ, Paramesh V. Minimally invasive coronary artery bypass grafting is associated with improved clinical outcomes. Innovations (Phila). 2014;9:421–6.

    Google Scholar 

  9. Ziankou A, Ostrovsky Y. Early and midterm results of no-touch aorta multivessel small thoracotomy coronary artery bypass grafting: a propensity score-matched study. Innovations (Phila). 2015;10:258–67.

    Article  Google Scholar 

  10. Barsoum EA, Azab B, Shah N, Patel N, Shariff MA, Lafferty J, et al. Long-term mortality in minimally invasive compared with sternotomy coronary artery bypass surgery in the geriatric population (75 years and older patients). Eur J Cardiothorac Surg. 2015;47:862–7.

    Article  Google Scholar 

  11. Barsoum EA, Azab B, Patel N, Spagnola J, Shariff MA, Kaleem U, et al. Long-term outcome after percutaneous coronary intervention compared with minimally invasive coronary artery bypass surgery in the elderly. Open Cardiovasc Med J. 2016;10:11–8.

    Article  Google Scholar 

  12. Lapierre H, Chan V, Ruel M. Off-pump coronary surgery through mini-incisions: is it reasonable? Curr Opin Cardiol. 2006;21:578–83.

    Article  Google Scholar 

  13. Lapierre H, Chan V, Sohmer B, Mesana TG, Ruel M. Eur J Cardiothorac Surg. 2011;40:804–10.

    Google Scholar 

  14. Lemma M, Atanasiou T, Contino M. Minimally invasive cardiac surgery-coronary artery bypass graft. Multimed Man Cardiothorac Surg. 2013;2013:mmt007. https://doi.org/10.1093/mmcts/mmt007.

    Article  Google Scholar 

  15. Kikuchi K, Une D, Endo Y, Matsuyama T, Fukada Y, Kurata A. Minimally invasive coronary artery bypass grating using bilateral in situ internal thoracic arteries. Ann Thorac Surg. 2015;100:1082–4.

    Article  Google Scholar 

  16. Kikuchi K, Une D, Kurata A, Ruel M. Off-pump minimally invasive coronary artery bypass grafting using the bilateral internal thoracic arteries and the right gastroepiploic artery. Eur J Cardiothorac Surg. 2016;49:1285–6.

    Article  Google Scholar 

  17. Chan V, Lapierre H, Sohmer B, Mesana TG, Ruel M. Handsewn proximal anastomoses onto the ascending aorta through a small left thoracotomy during minimally invasive multivessel coronary artery bypass grafting: a stepwise approach to safety and reproducibility. Semin Thorac Cardiovasc Surg. 2012;24:79–83.

    Article  Google Scholar 

  18. Aubin H, Akhyari P, Lichtenberg A, Albert A. Additional right-sided upper “Half-Mini-Thoracotomy” for aortocoronary bypass grafting during minimally invasive multivessel revascularization. J Cardiothorac Surg. 2015;10:130.

    Article  Google Scholar 

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Correspondence to Marc Ruel .

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Guo, M.H., Ngu, J.M.C., Ruel, M. (2020). Minimally Invasive Coronary Artery Bypass Grafting. In: Raja, S. (eds) Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24174-2_17

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  • DOI: https://doi.org/10.1007/978-3-030-24174-2_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24173-5

  • Online ISBN: 978-3-030-24174-2

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