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Initiation and modification of minimally invasive coronary artery bypass grafting

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Abstract

Minimally invasive coronary artery bypass grafting (MICS CABG) via a small left thoracotomy has been proposed as an alternative to standard coronary artery bypass grafting. However, this technique is still limited to skillful surgeons. Off-pump multi-vessel bypass grafting and the use of bilateral internal thoracic arteries are particularly challenging via a small thoracotomy, while they are widely performed via a full median sternotomy. The purpose of this review is to serve as a guide for the proper introduction of MICS CABG in the current era. We examine the advances, current techniques, outcomes and learning curves of MICS CABG and discuss the safe introduction.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan

    Dai Une

  2. Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan

    Taichi Sakaguchi

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  1. Dai Une
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Correspondence to Taichi Sakaguchi.

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Une, D., Sakaguchi, T. Initiation and modification of minimally invasive coronary artery bypass grafting. Gen Thorac Cardiovasc Surg 67, 349–354 (2019). https://doi.org/10.1007/s11748-018-1050-7

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