Minimally invasive total arterial off-pump coronary revascularization: A reproducible technique

摘要

It has been over five decades since the first coronary artery bypass grafting (CABG) of a left internal thoracic artery (LITA) to the left anterior descending (LAD) artery was described by Kolesov in 1964.[ , ] The use of the saphenous vein and radial artery as conduits and the feasibility of multiple coronary bypass grafts was described soon thereafter.[ , ] While CABG is accepted as recommended therapy for multivessel disease requiring revascularization, the standard approach toward this goal has been through a full sternotomy. While being the most practiced and easily reproducible, this approach maybe associated with significant morbidity in both short- and long-term.