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Interact CardioVasc Thorac Surg 2008;7:405-406. doi:10.1510/icvts.2007.172973A
© 2008 European Association of Cardio-Thoracic Surgery
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eComment

Is more than LAD feasible?

Stefanos Demertzis

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]

Related Article

Minimally invasive coronary artery bypass grafting using the inferior J-shaped ministernotomy in high-risk patients
Mauro Del Giglio, Andrea Dell'Amore, Tommaso Aquino, Simone Calvi, Morena Calli, Claudio Marri, Francesco Boni, and Mauro Lamarra
Interactive CardioVascular and Thoracic Surgery 2008 7: 402-405. [Abstract] [Full Text] [PDF]




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