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Coronary: Mauro Del Giglio, Andrea Dell'Amore, Tommaso Aquino, Simone Calvi, Morena Calli, Claudio Marri, Francesco Boni, and Mauro Lamarra Minimally invasive coronary artery bypass grafting using the inferior J shaped ministernotomy in high risk patients Interactive CardioVascular and Thoracic Surgery published on Feb 14, 2008 as doi:10.1510/icvts.2007.172973 [Abstract] [Journal Format PDF]

Electronic comments posted:

eComment. Is more than LAD feasible?

Stefanos Demertzis   (27 February 2008)

eComment. Is more than LAD feasible? 27 February 2008
Stefanos Demertzis Department of Cardiac Surgery, Cardiocentro Ticino, Lugano 6900, Switzerland stefanos{at}demertzis.net Stefanos Demertzis	Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2007.172973A © 2008 European Association of Cardio-Thoracic Surgery 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]? References [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:icvts.2007.172973. [2]Levinson MM. Subxiphoid multi-arterial OPCAB: surgical technique and initial case report. The heart surgery forum 2005;8:E303-310.