Triple Arterial Minimally Invasive Direct Coronary Artery Bypass Grafting: Step-By-Step Technique Report
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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2025
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| author | Danko Grujic |
| author_facet | Danko Grujic |
| contents | Triple Arterial Minimally Invasive Direct Coronary Artery Bypass Grafting: Step-By-Step Technique Report Danko Grujic Vojkan Aleksic Tatjana Gazibara Vladimir Milicevic Radmila Karan Medicina Radial Artery Mammary Arteries Surgical Anastomosis Coronary Artery Bypass Coronary Artery Disease Minimally invasive direct coronary artery bypass grafting (MIDCAB) has considerable benefits over the conventional coronary artery bypass grafting procedure. This case report presents the MIDCAB procedure in a multivessel coronary disease using triple arterial grafts and four arterial anastomoses. The initial anastomosis was made between the left intrathoracic mammary artery (LIMA) and the radial artery (RA), as an end-to-side "T" graft. Next, the RIMA was used to left anterior descending anastomosis. The first obtuse marginal (OM1) branch was grafted to allow LIMA-OM1 side-to-side anastomosis. Then, with the diagonal branch (Dg) opened, the formation of a "jumping" anastomosis was made using LIMA-OM1-Dg. The posterior descending artery (PDA) was used to create a LIMA-RA-PDA. 2025 otro 0102-7638 https://www.redalyc.org/articulo.oa?id=398982402018 https://www.redalyc.org/journal/3989/398982402018/ https://www.redalyc.org/journal/3989/398982402018/html/ https://www.redalyc.org/journal/3989/398982402018/398982402018.epub https://www.redalyc.org/journal/3989/398982402018/movil 10.21470/1678-9741-2024-0193 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.5 Vol.40 |
| format | Artículo científico |
| id | redalyc_398982402018 |
| institution | Redalyc |
| language | en |
| publishDate | 2025 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Triple Arterial Minimally Invasive Direct Coronary Artery Bypass Grafting: Step-By-Step Technique Report Danko Grujic Medicina Radial Artery Mammary Arteries Surgical Anastomosis Coronary Artery Bypass Coronary Artery Disease Triple Arterial Minimally Invasive Direct Coronary Artery Bypass Grafting: Step-By-Step Technique Report Danko Grujic Vojkan Aleksic Tatjana Gazibara Vladimir Milicevic Radmila Karan Medicina Radial Artery Mammary Arteries Surgical Anastomosis Coronary Artery Bypass Coronary Artery Disease Minimally invasive direct coronary artery bypass grafting (MIDCAB) has considerable benefits over the conventional coronary artery bypass grafting procedure. This case report presents the MIDCAB procedure in a multivessel coronary disease using triple arterial grafts and four arterial anastomoses. The initial anastomosis was made between the left intrathoracic mammary artery (LIMA) and the radial artery (RA), as an end-to-side "T" graft. Next, the RIMA was used to left anterior descending anastomosis. The first obtuse marginal (OM1) branch was grafted to allow LIMA-OM1 side-to-side anastomosis. Then, with the diagonal branch (Dg) opened, the formation of a "jumping" anastomosis was made using LIMA-OM1-Dg. The posterior descending artery (PDA) was used to create a LIMA-RA-PDA. 2025 otro 0102-7638 https://www.redalyc.org/articulo.oa?id=398982402018 https://www.redalyc.org/journal/3989/398982402018/ https://www.redalyc.org/journal/3989/398982402018/html/ https://www.redalyc.org/journal/3989/398982402018/398982402018.epub https://www.redalyc.org/journal/3989/398982402018/movil 10.21470/1678-9741-2024-0193 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.5 Vol.40 |
| title | Triple Arterial Minimally Invasive Direct Coronary Artery Bypass Grafting: Step-By-Step Technique Report |
| topic | Medicina Radial Artery Mammary Arteries Surgical Anastomosis Coronary Artery Bypass Coronary Artery Disease |
| url | https://www.redalyc.org/articulo.oa?id=398982402018 https://www.redalyc.org/journal/3989/398982402018/ https://www.redalyc.org/journal/3989/398982402018/html/ https://www.redalyc.org/journal/3989/398982402018/398982402018.epub https://www.redalyc.org/journal/3989/398982402018/movil |