CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2022; 11(01): e14-e16
DOI: 10.1055/s-0041-1739186
Case Report: Cardiac

Bilateral Internal Thoracic Artery Minimally Invasive CABG Management in COPD

Anna Kathrin Assmann
1   Department of Cardiac Surgery, Heinrich Heine University, Medical Faculty, Duesseldorf, Nordrhein-Westfalen, Germany
Artur Lichtenberg
1   Department of Cardiac Surgery, Heinrich Heine University, Medical Faculty, Duesseldorf, Nordrhein-Westfalen, Germany
Alexander Assmann
1   Department of Cardiac Surgery, Heinrich Heine University, Medical Faculty, Duesseldorf, Nordrhein-Westfalen, Germany
› Author Affiliations


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.

Authors' Contributions

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.

Publication History

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. (

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