Redo left anterior descending artery grafting via left anterior small thoracotomy: An alternative approach

Paul C. Kerr, Marco Ricci, Reginald Abraham, Giuseppe D'Ancona, Tomas A. Salerno

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Reoperative left anterior descending artery (LAD) revascularization can be performed through a left anterior small thoracotomy (LAST approach) in patients requiring isolated LAD revascularization. If the left internal mammary artery has been previously used, however, the operation is generally performed either through a median sternotomy or through a full posterolateral thoracotomy for the necessity of connecting the vein graft to the ascending aorta or to the descending thoracic aorta, thus losing the advantages of a minimally invasive approach. In the case reported herein, we describe a technique in which reoperative revascularization of the LAD is accomplished through the LAST approach, using the stump of the left internal mammary artery as the inflow site of a saphenous vein coronary graft to the LAD.

Original languageEnglish (US)
Pages (from-to)384-385
Number of pages2
JournalAnnals of Thoracic Surgery
Volume71
Issue number1
DOIs
StatePublished - Feb 7 2001

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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