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Interact CardioVasc Thorac Surg 2009;9:551-553. doi:10.1510/icvts.2009.208298
© 2009 European Association of Cardio-Thoracic Surgery

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Mauro Del Giglio
Andrea Dell'Amore
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Case report - Coronary

One-stage hybrid procedure: association between awake minimally invasive surgical revascularization and percutaneous coronary intervention

Mauro Del Giglioa, Andrea Dell'Amorea,*, Andrea Zuffib and Arvit Sokolic

a Department of Cardiovascular Surgery, Villa Maria Cecilia Hospital, Via Corriera 1, 48018, Cotignola, Lugo, RA, Italy
b Department of Interventional Cardiology, Villa Maria Cecilia Hospital, Cotignola, Lugo, RA, Italy
c Department of Anesthesiology, Villa Maria Cecilia Hospital, Cotignola, Lugo, RA, Italy

*Corresponding author. Tel.: +393356223366; fax: +390545217321.

E-mail address: dellamore76{at}libero.it (A. Dell'Amore).

Hybrid revascularization provides minimally invasive options for high-risk patients with multivessel coronary artery disease. We used a hybrid approach in two patients. The surgical revascularization with the left internal mammary artery (LIMA) on the left descending coronary artery was performed through an inferior j-shaped mini-sternotomy keeping the patients awake with high-epidural thoracic anesthesia. At the end of the operations the patients were moved to the angiography laboratory to complete the revascularization with angioplasty. No complications were reported.

Key Words: Myocardial infarction; Coronary artery disease; Minimally invasive surgery; Hybrid approach; High-epidural thoracic anesthesia







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