Journal article
A minimally invasive alternative approach for reoperative grafting of the right coronary artery
Journal of cardiac surgery, Vol.17(4), pp.289-291
07/2002
DOI: 10.1111/j.1540-8191.2001.tb01142.x
PMID: 12546074
Abstract
Target vessel revascularization on a beating heart via a mini subxiphoid incision, not only eliminates the hazards of sternal reentry, but also avoids the detrimental systemic effects of extracorporeal circulation.
The goal of the study was to develop and describe a safe and effective method to revascularize the right coronary artery in reoperative cases, using beating heart and minimally invasive techniques in lieu of the RGEA.
There were three men and four women with a mean age of 69 years; four were second time reoperations and three third time reoperations. Through a subxiphoid approach, a lower ministernotomy is performed. Once the coronary target is established, a Rultract retractor is used to gently elevate the right half of the sternum to take down the RITA. A mechanical stabilizer was used to provide stabilization for distal anastamoses. Flow was measured in all the grafts with the Medi-Stim before and after protamine administration.
[table: see text]
We believe that this technique provides another effective approach to the patient who requires reoperative coronary revascularization of the RCA.
Details
- Title: Subtitle
- A minimally invasive alternative approach for reoperative grafting of the right coronary artery
- Creators
- Reginald Abraham - Division of Cardiothoracic Surgery, State University of New York at Buffalo, New York, USAMarco RicciTomas SalernoPaul Kerr
- Resource Type
- Journal article
- Publication Details
- Journal of cardiac surgery, Vol.17(4), pp.289-291
- Publisher
- United States
- DOI
- 10.1111/j.1540-8191.2001.tb01142.x
- PMID
- 12546074
- ISSN
- 0886-0440
- eISSN
- 1540-8191
- Language
- English
- Date published
- 07/2002
- Academic Unit
- Surgery; Cardiothoracic Surgery
- Record Identifier
- 9984051710602771
Metrics
20 Record Views