 Minimally Invasive Axillary-Coronary Artery Bypass
(#2000-4542 ... June 15, 2000)
John B. Flege, Jr., MD1,2,3,4, Randall K. Wolf, MD 1,2,4
1Department of Cardiac Surgery, The Christ Hospital
2Division of Cardiac Surgery, The Jewish Hospital
3Department of Surgery, University of Cincinnati College of Medicine
4Cardiovascular and Thoracic Surgeons, Inc.Cincinnati, Ohio
ABSTRACT
Background: Some patients with proximal obstructive lesions of the left anterior descending coronary artery who are suitable for minimally invasive coronary bypass surgery do not have an available left internal mammary artery because it has already been used for a graft, is diseased or has been damaged. The ascending aorta is not accessible for proximal graft anastomosis from a small anterolateral thoracotomy used to expose the coronary artery. The aim of this report is to show that the axillary artery is suitable for the proximal anastomosis in minimally invasive coronary bypass operations.
Methods: Ten patients had minimally invasive axillary-coronary artery bypass to the anterior descending coronary artery. Cardiopulmonary bypass was not used. The saphenous vein was used in nine and the radial artery in one.
Results: Satisfactory grafts were achieved in all patients without mortality or major complications.
Conclusion: Grafts from the axillary artery can be used successfully for minimally invasive bypass to the anterior descending coronary artery.
AUTHOR/ARTICLE INFORMATION
Presented at Evolving Techniques and Technologies in Minimally Invasive Cardiac Surgery, San Antonio, Texas, January 22-23, 1999.
Keywords: Minimally invasive axillary-coronary artery bypass
Reprint requests to: Address correspondence and reprint requests to: John B. Flege, Jr., MD, 2123 Auburn Avenue, #401, Cincinnati, OH 45219, Phone: (513) 421-3494, Fax: (513) 345-2606, Email: john_flege@trihealth.com
Submitted on: June 13, 2000; Accepted on: June 15, 2000
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