Korean J Thorac Cardiovasc Surg.  1999 Dec;32(12):1127-1130.

Combined Percutaneous Transluminal Coronary Angioplasty and Minimally Invasive Coronary Arterial Bypass Grafting ( Hybrid CABG )

• chang JM
• Yoo WH
• Kim KB

Abstract

Percutaneous coronary intervention including intracoronary stenting is currently an accepted treatment modality in the treatment of coronary artery disease and is widely performed to treat the patient with multivessel disease with decreased morbidities and less cost compared with conventional coronary rtery bypass grafting(CABG), Repeated interventions due to restenosis even after successful angioplasty are the major disadvantage of the angioplsty especially when the lesion is located inthe left anterior descending artery(LAD) Recently CABG through left anterior small thoracotomy using the left internal thoracic artery to revascularize the LAD territory without cardiopulmonary bypass so called Minimally Invasive Direct Coronary Artery Bypass(MIDCAB) was intrduced and performed with comparable early outcomes. In this regard the integrated approach with percutaneous coronary intervention and minimally invasive direct coronary artery bypass surgery so called 'Hybrid CABG' was suggested to be an effective treatment in suitable patients with multivessel coronary artery disease. We report three cases of Hybrid CABG.

Keyword

Coronary artery bypass; Angioplasty, transluminal, percutaneous, coronary; Minimally invasive surgery

MeSH Terms

Angioplasty
Angioplasty, Balloon, Coronary*
Cardiopulmonary Bypass
Coronary Artery Bypass
Coronary Artery Disease
Coronary Vessels
Humans
Mammary Arteries
Percutaneous Coronary Intervention
Stents
Surgical Procedures, Minimally Invasive
Thoracotomy
Transplants*