OBJECTIVE In an effort to minimize access in coronary artery bypass (CAB) surgery, a total endoscopic approach using computer enhanced technology was developed. METHODS By July 1999 the da Vinci telemanipulation system (Intuitive Surgical, Mountain View, CA) was used in 66 patients with coronary artery disease. In 12 patients undergoing routine coronary artery bypass grafting (CABG) (group 1)...

Minimally invasive direct coronary artery bypass grafting utilising an anterior mini-thoracotomy has traditionally been limited to surgical revascularisation for single or double vessel coronary disease. The widespread use of percutaneous coronary intervention has further limited the use of this technique. Minimally invasive direct coronary artery bypass grafting offers the advantage of avoidin...

Background The COVID-19 pandemic has disrupted the routine of emergency centers around world, including in Brazil, where crisis affected volume major cardiac surgeries such as coronary artery bypass grafting. Objective To analyze impact on number surgical procedures for grafting Brazil. Methods An ecological, cross-sectional, quantitative, and descriptive study was conducted. Data period from J...

Development of robotic technology has enabled totally endoscopic coronary artery bypass grafting (TECAB) procedures. With complete preservation of sternal and thoracic stability, this operation would be an interesting option for obese patients, who are known to be at higher risk for deep sternal wound infection. We describe a case of successful totally endoscopic left internal mammary artery to...

OBJECTIVE Minimally invasive multiple vessel revascularization has been accomplished using all arterial graft concepts and aortocoronary vein grafts. The aim of the present study was to determine the technical feasibility of minimally invasive axillary artery to coronary artery vein grafting in the human cadaver. METHODS In seven human cadavers the axillary artery was approached bilaterally v...

BACKGROUND We sought to evaluate the effects of on-pump beating-heart versus conventional coronary artery bypass grafting techniques requiring cardioplegic arrest in patients with coronary artery disease with left ventricular dysfunction. METHODS We report the early outcomes associated with survival, morbidity and improvement of left ventricular function in patients with low ejection fraction...

Objective: To investigate the midand long-term outcomes of case-based selective strategy of mitral ring annuloplasty during coronary artery bypass grafting in patients with coronary artery disease accompanied by chronic ischemic mitral regurgitation. Methods: 132 patients who were diagnosed ischemic moderate to severe mitral regurgitation undergoing coronary artery bypass grafting in the same c...

ABSTRACT BACKGROUND AND OBJECTIVES: Persistence of pain in the postoperative thoracic region is very common with conventional analgesia performed only opioids, which prolongs recovery, increasing costs and morbidity. Erector spinae plane blockage a promising technique for analgesic control period cardiac surgeries. The purpose this study was to describe case erector provided adequate control. C...

reliable, exclusively in appropriately selected situations. In creation of bypass grafts, durable completeness of revascularization and function of the ITA to the LAD bypass should not be compromised. We would suggest that the balanced bypass flow toward the LAD and the RCA is noticeably important to achieve an entire patency of the Y-graft for three-vessel regions. This study is not conclusive...

Arterial multivessel bypass grafting without extra corporeal circulation and manipulation of the ascending aorta should be a good surgical option for the treatment of coronary artery disease. An internal thoracic artery (ITA)-radial artery (RA) composite graft was used for this purpose. Between July 2000 and October 2001, we employed the LITA-RA composite graft for off-pump coronary artery bypa...