Endoscopic Internal Thoracic Artery Harvesting with Changes in Scope Position

Authors

  • Yoshihiro Goto, MD Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan
  • Sho Takagi, MD, PhD Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan
  • Junji Yanagisawa, MD Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan
  • Akio Nakasu, MD Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan
  • Yasuhide Okawa, MD Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan

DOI:

https://doi.org/10.1532/hsf.4195

Keywords:

coronary bypass graft (CABG), endoscopic surgery, LITA harvesting, minimally invasive direct coronary artery bypass

Abstract

Although minimally invasive direct coronary artery bypass (MIDCAB) is a less invasive procedure, internal thoracic artery (ITA) harvesting is difficult. A 65-year-old woman was advised to undergo MIDCAB for recurrent in-stent restenosis. We harvested the ITA using three-dimensional endoscopy without robotics and determined the scope position using enhanced computed tomography. We changed the camera installation between the wound and the camera port, according to the harvesting site with a harmonic scalpel using the skeletonized technique. We harvested the ITA from the subclavian vein level superiorly to the xyphoid process level inferiorly.

References

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Published

2021-11-17

How to Cite

Yoshihiro, G., Takagi, S., Yanagisawa, J., Nakasu, A., & Okawa, Y. (2021). Endoscopic Internal Thoracic Artery Harvesting with Changes in Scope Position. The Heart Surgery Forum, 24(6), E950-E951. https://doi.org/10.1532/hsf.4195

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