Coronary artery bypass grafting without full sternotomy

Surg Today. 2009;39(11):929-37. doi: 10.1007/s00595-009-3976-y. Epub 2009 Nov 1.

Abstract

Coronary artery bypass grafting is performed without full sternotomy in selected patients because it is less invasive. Left internal thoracic artery-left anterior descending artery bypass (LITA-LAD bypass) via a small left anterior thoracotomy is a well established procedure, which achieves good graft patency with low mortality and morbidity rates. Multiple revascularization is possible with a limited lateral thoracotomy or L-figure approach. Axillary-coronary bypass and right gastroepiploic artery-right coronary artery bypass (RGEA-RCA bypass) are alternative methods, especially for redo surgery, in selected patients.

Publication types

  • Review

MeSH terms

  • Cardiomyopathies / surgery*
  • Coronary Artery Bypass / methods*
  • Humans
  • Minimally Invasive Surgical Procedures / methods*
  • Sternotomy / methods*
  • Thoracotomy / methods*