Minimally Invasive Axillary-LAD Saphenous Vein Bypass

(#1999-1047 ... May 21, 1999)

Basem Shabb, MD, FACS¹, Ismail Khalil, MD FACS²

American University of Beirut Medical Center, Beirut, Lebanon
¹Cardiothoracic Division
²Division of Vascular Surgery

ABSTRACT

The left internal mammary artery (LIMA) is the arterial conduit of choice for minimally invasive coronary bypass to the left anterior descending (LAD). However, in redo cases when the LIMA is not available, the use of a saphenous vein graft as an extraanatomic bypass from the axillary artery to the LAD offers a lower risk alternative than conventional reoperative trans-sternal surgery [Knight 1997]. We report on three patients who underwent axillary-LAD saphenous vein bypass. At six months, follow-up by Duplex ultrasound showed patent grafts in all three patients.

AUTHOR/ARTICLE INFORMATION

Presented at the Second Annual Meeting of the International Society for Minimally Invasive Cardiac Surgery, Palais dés Congres, Paris, France, May 21-22, 1999.

Reprint requests to: Basem Shabb, MD, FACS, c/o American University of Beirut Medical Center, 850 Third Avenue, New York, NY 10022 USA

Submitted on: Peer reviewed and accepted at the International Society for Minimally Invasive Cardiac Surgery's 2nd Annual Meeting and Scientific Sessions, Paris, France, May 21-22 1999.

Keywords: Coronary Artery Bypass, Minimally Invasive, Axillary Artery, Saphenous Vein Graft