Advanced Search

Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2000 February;41(1) > The Journal of Cardiovascular Surgery 2000 February;41(1):7-9

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

 

The Journal of Cardiovascular Surgery 2000 February;41(1):7-9

CARDIAC PAPERS 

 ORIGINAL ARTICLES

Video-endoscopic dissection of multiple pedicled arterial grafts for use in minimally invasive coronary artery bypass surgery

Gomes W. J., Goldenberg A., Buffolo E., Losso L. C., Marcon- des W., Rolla F., Imaeda C. J., Palma J. H., Goldenberg S.

From the Car­di­o­vas­cular Sur­gery and Experi­mental Sur­gery Divi­sions, Depart­ment of Sur­gery, ­Escola Pau­lista de Med­i­cina of Fed­eral Uni­ver­sity of São ­Paulo, São ­Paulo, S.P., ­Brazil

Back­ground. We eval­u­ated the pos­sibility of ­video-endo­scopic dis­sec­tion of ­both ­internal tho­racic ­arteries (ITAs) ­through the ­left tho­racic ­approach and ­right gas­troep­i­ploic ­artery (GEA) via a ­small lapar­os­copic ­access, for use in min­i­mally inva­sive cor­o­nary ­artery ­bypass sur­gery.
­Methods. The pro­ce­dure was per­formed on ­twenty-two mon­grel ­dogs. ­Three 10 mm ­ports ­were ­inserted in the ­left hem­i­thorax to ­enable the intro­duc­tion of a ­rigid 0-­degree vid­eo­scope and for­ceps ­which ­allowed ­access to the ­left and ­right ­ITAs. For dis­sec­tion of the GEA, one 10 mm and two 5 mm ­ports ­were ­inserted in the par­a­um­bil­ical ­region.
­Results. The ­left and ­right ­ITAs and the GEA ­were ­easily vis­u­al­ized and dis­sec­tion and com­plete mobil­iza­tion was ­achieved ­without ­injury, ­which was ­checked by the pres­ence of ­good ­blood ­flow. The ­ITAs and GEA ­were ­divided dis­tally, exte­ri­or­ized ­through a ­small ­left ante­rior thor­a­cotomy and the ­length of ­these ­three ­grafts ­were ­able to ­reach all of the ­left cor­o­nary ­artery ­branches.
Con­clu­sions. We ­have dem­on­strated, in ­dogs, the fea­sibility of ­video-­assisted dis­sec­tion of ­both the ­left and ­right ­ITAs ­through the ­left tho­racic ­approach, ­without ster­notomy, ­avoiding the ­risks of ­sternal com­pli­ca­tions and ­expanding its use for all ­patients. Fur­ther­more, a ­third arte­rial con­duit (the RGA) can be ­used ­without ­requiring lap­a­rotomy.

language: English


FULL TEXT  REPRINTS

top of page