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

¹ Villa Maria Cecilia Hospital, Cotignola, Lugo (RA), Italy

^* To whom correspondence should be addressed. E-mail: dellamore76{at}libero.it.

	Abstract

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 operation the patients was moved to the angiography laboratory to complete the revascularization with angioplasty. No complications were reported. Keywords: Myocardial infarction; Coronary artery disease; Minimally invasive surgery; Hybrid approach; High epidural thoracic anesthesia