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Is more than LAD feasible?

Department of Cardiac Surgery, Cardiocentro Ticino, Lugano 6900, Switzerland

Minimally invasive coronary artery bypass grafting using the inferior J-shaped ministernotomy in high-risk patients

Congratulations for the approach and the good results [1]. You seem to use this inverted-J low-sternotomy approach for LAD disease (±Diagonal). Does this approach offer sufficient exposure to consider revascularization of the Circumflex Artery or the terminal branches of the RCA? How does your approach compare with the subxiphoid approach proposed by Levinson [2]?

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1. Del Giglio M, Dell'Amore A, Aquino T, Calvi S, Calli M, Marri C, Boni F, Lamarra M. Minimally invasive coronary artery bypass grafting using the inferior J shaped ministernotomy in high risk patients. Interact CardioVasc Thorac Surg 2008;7:402–406.[Abstract/Free Full Text]
2. Levinson MM. Subxiphoid multi-arterial OPCAB: surgical technique and initial case report. Heart Surg Forum 2005;8:E303–E310.[CrossRef][Medline]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Stefanos Demertzis Permission Requests Google Scholar Articles by Demertzis, S. PubMed Articles by Demertzis, S. Related Collections Related Article