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Title: Minimally invasive coronary artery bypass grafting. Author: Fann JI, Stevens JH, Pompili MF, Burdon TA, Reitz BA. Journal: Curr Opin Cardiol; 1997 Sep; 12(5):482-7. PubMed ID: 9352176. Abstract: Minimally invasive cardiac surgery has generated a tremendous amount of enthusiasm in the cardiology and cardiac surgical communities. Coronary revascularization without cardiopulmonary bypass through a small anterior thoracotomy or mediastinotomy has been introduced as an alternative to the conventional approach. An endovascular or port-access technique for cardiopulmonary bypass and cardioplegic arrest has been developed for use in cardiac surgery. This peripherally based system achieves aortic occlusion, cardioplegia delivery, and left ventricular decompression; thus, coronary revascularization and various cardiac procedures can be effectively performed in a less invasive fashion than conventional median sternotomy. Continued technical advances in minimally invasive cardiac surgery will facilitate these procedures, increase patient safety, and contribute to acceptable long-term results.[Abstract] [Full Text] [Related] [New Search]