Korean J Thorac Cardiovasc Surg.  2014 Apr;47(2):106-110.

Hybrid Coronary Revascularization Using Limited Incisional Full Sternotomy Coronary Artery Bypass Surgery in Multivessel Disease: Early Results

• Kang J
• Song H
• Lee SI
• Moon MH
• Kim HW
• Jo GH

Abstract

BACKGROUND
There are several modalities of coronary artery revascularization for multivessel coronary artery disease. Hybrid coronary revascularization (HCR) with minimally invasive direct coronary artery bypass grafting was introduced for high-risk patients, and recently, many centers have been using it. Limited incisional full sternotomy coronary artery bypass (LIFCAB) involves left internal thoracic artery (LITA)-to-left anterior descending coronary artery (LAD) anastomosis through a sternotomy with a minimal skin incision; it could be considered another technique for minimally invasive LITA-to-LAD anastomosis. Our center has performed HCR using LIFCAB, and in this paper, we report our short-term results, obtained in the past 3 years.
METHODS
The medical records of 38 patients from May 2010 to June 2013 were analyzed retrospectively. The observation period after HCR was 1 to 37 months (average, 18.3+/-10.3 months). The patency of revascularization was confirmed with postoperative coronary angio-computerized tomography or coronary angiography.
RESULTS
There were 3 superficial wound complications, but no mortalities. All the LITA-to-LAD anastomoses were patent in the immediate postoperative and follow-up studies, but stenosis was detected in 3 cases of percutaneous coronary intervention.
CONCLUSION
HCR using LIFCAB is safe and yields satisfactory results from the viewpoint of revascularization for multivessel disease.

Keyword

Myocardial revascularization; Coronary artery bypass; Minimally invasive surgery

MeSH Terms

Constriction, Pathologic
Coronary Angiography
Coronary Artery Bypass*
Coronary Artery Disease
Coronary Vessels*
Follow-Up Studies
Humans
Mammary Arteries
Medical Records
Mortality
Myocardial Revascularization
Percutaneous Coronary Intervention
Retrospective Studies
Skin
Sternotomy*
Surgical Procedures, Minimally Invasive
Wounds and Injuries