TY - JOUR
T1 - Redo left anterior descending artery grafting via left anterior small thoracotomy
T2 - An alternative approach
AU - Kerr, Paul C.
AU - Ricci, Marco
AU - Abraham, Reginald
AU - D'Ancona, Giuseppe
AU - Salerno, Tomas A.
PY - 2001/2/7
Y1 - 2001/2/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0035133777&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035133777&partnerID=8YFLogxK
U2 - 10.1016/S0003-4975(00)02185-8
DO - 10.1016/S0003-4975(00)02185-8
M3 - Article
C2 - 11216796
AN - SCOPUS:0035133777
VL - 71
SP - 384
EP - 385
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 1
ER -