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Chirurgia 2012 June;25(3):205-7

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Redo off-pump Y-graft coronary artery bypass through left antero-lateral minithoracotomy

Giordano V., Grandjean J. G.

Department of Cardio-Thoracic Surgery, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands


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In the current era minimally invasive cardiac surgery has demonstrated its safety and effectiveness in association with good early and midterm clinical outcomes. Especially in case of reoperation and compared to standard approach minimal access assures reduced morbidity and mortality. Despite significant advantages a considerable concern exists: the chance to achieve the same quality of intervention without compromising surgical results. We report an original case of reoperation through a small anterior left thoracotomy to perform a total arterial revascularization, using a sequential grafting technique. Postoperative course was uneventful and follow-up investigation after four months, confirmed a good health status and early work resumption.

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