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Bilateral Internal Thoracic Artery Minimally Invasive CABG Management in COPD
Background Off-pump multi-arterial minimally invasive coronary surgery via anterolateral mini-thoracotomy has become a feasible and safe procedure.
Case Description We report on a 61-year-old patient with a coronary one-vessel disease with severely stenotic left anterior descending artery and diagonal branch, additionally suffering from chronic obstructive pulmonary disease with severely impaired lung function. Using a fan technique allowing for double lung ventilation, the patient was successfully operated grafting both internal thoracic arteries via a left anterolateral mini-thoracotomy.
Conclusion Anaortic, minimally invasive off-pump coronary artery bypass grafting is an excellent technique to achieve myocardial revascularization with both internal thoracic arteries even in patients with impaired lung function.
Keywordscoronary artery bypass grafting - off-pump CABG - LITA - RITA - minimally invasive cardiac surgery (MICS) - chronic obstructive pulmonary disease (COPD)
A.K.A. contributed toward drafting the manuscript and visualization. A.L. did the review, editing, and collected the resources. A.A. contributed toward the conception of work, performed the operation, and critical revision of the article.
Received: 27 June 2021
Accepted: 20 July 2021
Article published online:
02 February 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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