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Video-assisted micabg for the patient with right mammary carcinoma —a case report—

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Abstract

A 69-year-old female with advanced right mammary carcinoma presented to us with diffuse stenosis of the proxymal left anterior descending artery (LAD). Right mastectomy had been suspended. The LAD was treated with minimally invasive CABG (MICABG) assisted with a thoracoscopic procedure. The left internal thoracic artery (LITA) was taken down through thoracoscopy from the upper margin of the 1st rib to the lower margin of the 5th rib using only the Harmonic Scalpel (Ethicon Endo-Surgery). Coronary anastomosis to the LAD was completed without cardiopulmonary bypass through a small thoracotomy on the anterior 4th intercostal space. The operation time was 4h 30 min and the blood loss was 120 ml. Post operative course was uneventful. Doppler study and angiography demonstrated patent LITA to the LAD. Right mastectomy was achieved 29 days after MICABG. MICABG can be a veneficial alternative method for the patient with malignant disease, allowing quick convalescence and early cancer operation. Thoracoscopy allows for sufficient LITA harvest up to the 1st rib or higher with the Harmonic Scalpel.

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References

  1. Benetti FJ: Coronarry artery bypass without extracorporeal circulation versus percutaneous transluminal coronary angioplasty. Comparison of costs. J Thorac Cardiovasc Surg 102: 802–803, 1991

    CAS  Google Scholar 

  2. Acuff TA, Landreneau RJ, Griffith BP, Mack MJ: Minimally invasive coronary artery bypass grafting. Ann Thorac Surg 61: 135–137, 1996

    CAS  Google Scholar 

  3. Ohtsuka T, Randall KW, Hiratzka LF, Wurnig P, Flege JB Jr: Thoracoscopic Internal Mammary Artery Harvest for MICABG Using the Harmonic Scalpel. Ann Thorac Surg 63: S107–109, 1997

    CAS  Google Scholar 

  4. Landreneau RJ, Mack MJ, Magovern JA, Acuff TA, Benckart DH, Sakert TA, Fetternman LS, Griffith BP: /ldKeyhole/rd coronary artery bypass surgery. Ann Surg 224: 453–462, 1996

    CAS  Google Scholar 

  5. Patrick N, Leonardo L, Mary R, Said B, Ramzi R, Alain P, Iradj G: Thoracoscopic Internal Mammary Artery Harvesting. Technical Considerations. Ann Thorac Surg 63: S104–106, 1997

    Google Scholar 

  6. McMahon J, Bergsland J, Arani DT, Salerno TA: Avulsion of the left internal mammary artery after Minimally invasive coronary bypass. Ann Thorac Surg 63: 843–845, 1997

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

    Munemoto Endoh M.D., Toshiya Ohtsuka M.D., Yutaka Kotsuka M.D. & Shinichi Takamoto M.D.

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  1. Munemoto Endoh M.D.
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  2. Toshiya Ohtsuka M.D.
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  3. Yutaka Kotsuka M.D.
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  4. Shinichi Takamoto M.D.
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Endoh, M., Ohtsuka, T., Kotsuka, Y. et al. Video-assisted micabg for the patient with right mammary carcinoma —a case report—. Jpn J Thorac Caridovasc Surg 46, 575–578 (1998). https://doi.org/10.1007/BF03250603

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  • DOI: https://doi.org/10.1007/BF03250603

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