Beating heart multi-vessel minimally invasive direct coronary artery bypass grafting: techniques and pitfalls

: Coronary artery bypass grafting (CABG) has been changing since its initial reports. There a shift from standard CABG, which uses sternotomy and single left internal mammary to the anterior descending (LAD) grafting, plus vein grafts other targets, performed on with aortic cross-clamping. We now have CABG using multiarterial grafts, avoiding manipulation of aorta, through minimally invasive approach. Beating heart Multi-vessel Minimally Invasive Artery Bypass (Multi-vessel MICS CABG) emerged as an attractive alternative in coronary revascularization. The approach mitigates some risks long recovery associated more full It decreases rates wound infection, transfusion, post-operative pain, time sternal dehiscence, while maintaining same outcomes sternotomy. are multiple centers around world that reported safe good including report our center joint Staten Island, NY. aim this paper is describe technique pitfalls used at go over patient selection outcomes. A video several pictures shown facilitate understanding learning technique.