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  • Title: Reoperative coronary artery bypass grafting using a minimally invasive direct coronary artery bypass procedure.
    Author: Ueda T, Kawata T, Mizuguchi K, Tsuji T, Tabayashi N, Abe T, Naito H, Nezu K, Taniguchi S.
    Journal: Jpn J Thorac Cardiovasc Surg; 2001 Oct; 49(10):602-6. PubMed ID: 11692585.
    Abstract:
    OBJECTIVE: Reoperative coronary artery bypass grafting with cardiopulmonary bypass tends to cause a higher mortality and morbidity than the primary operation. The purpose of this study was to discuss the effectiveness and safety of a minimally invasive coronary artery bypass procedure for patients who had previously undergone coronary artery bypass surgery. METHODS: We performed redo single coronary artery bypass grafting to the left anterior descending coronary artery in 9 patients and to the right coronary artery in 3 patients using minimally invasive cardiac surgery. The graft to the left anterior descending coronary artery was taken from the left internal thoracic artery in 5 patients, the right gastroepiploic artery in 3 patients, and from the saphenous vein in the other 1 patient. The graft to the right coronary artery was from the right gastroepiploic artery in all 3 patients. RESULTS: All grafts were patent. There was no major postoperative complication and no surgical or hospital death except one late death. CONCLUSIONS: In selected patients, we could safely and completely perform coronary artery bypass re-grafting to the left descending coronary artery or right coronary artery using a minimally invasive operation.
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