Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications

Background There is increasing interest and patient demand for minimally invasive cardiac surgery. Aim We aimed to assess the safety and potential indications of minimally invasive coronary artery bypass grafting (CABG) and possibilities of such techniques and debating it will become the standard pr...

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Main Authors: Tamer El Banna, Mohamed M Mohamed, Ahmed Zaye, Yasser A Sadek
Format: Article
Language:English
Published: General Organization of Teaching Hospitals and Institutes 2021-01-01
Series:Journal of Medicine in Scientific Research
Subjects:
Online Access:http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2021;volume=4;issue=2;spage=155;epage=158;aulast=El
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author Tamer El Banna
Mohamed M Mohamed
Ahmed Zaye
Yasser A Sadek
author_facet Tamer El Banna
Mohamed M Mohamed
Ahmed Zaye
Yasser A Sadek
author_sort Tamer El Banna
collection DOAJ
description Background There is increasing interest and patient demand for minimally invasive cardiac surgery. Aim We aimed to assess the safety and potential indications of minimally invasive coronary artery bypass grafting (CABG) and possibilities of such techniques and debating it will become the standard procedure. Patients and methods From February 2015 till February 2020, 83 cases underwent CABG via right submammary incision, and of them, 18 cases underwent hybrid technique. Results The procedure was successfully performed in all. Conversion rate to full sternotomy was 0%. Hospital mortality was seen in two (2.4%) patients. Re-exploration for bleeding was done in 0 (0%) patients. Superficial wound infection was seen in five (6%) patients, and deep wound infection was seen in one (1.2%) patient. Graft failure occurred in one patient who needed redo-operation after 6 months postoperatively, and one patient needed to lengthen the left internal mammary artery with composite vein graft. Conclusions Minimally invasive direct coronary artery bypass is a safe procedure for patients requiring left internal mammary artery to left anterior descending, as for hybrid CABG, clear indications are still to be revised.
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spelling doaj.art-23735051d71e496095843545d8ff18002024-04-03T01:07:29ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282021-01-014215515810.4103/jmisr.jmisr_118_20Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indicationsTamer El BannaMohamed M MohamedAhmed ZayeYasser A SadekBackground There is increasing interest and patient demand for minimally invasive cardiac surgery. Aim We aimed to assess the safety and potential indications of minimally invasive coronary artery bypass grafting (CABG) and possibilities of such techniques and debating it will become the standard procedure. Patients and methods From February 2015 till February 2020, 83 cases underwent CABG via right submammary incision, and of them, 18 cases underwent hybrid technique. Results The procedure was successfully performed in all. Conversion rate to full sternotomy was 0%. Hospital mortality was seen in two (2.4%) patients. Re-exploration for bleeding was done in 0 (0%) patients. Superficial wound infection was seen in five (6%) patients, and deep wound infection was seen in one (1.2%) patient. Graft failure occurred in one patient who needed redo-operation after 6 months postoperatively, and one patient needed to lengthen the left internal mammary artery with composite vein graft. Conclusions Minimally invasive direct coronary artery bypass is a safe procedure for patients requiring left internal mammary artery to left anterior descending, as for hybrid CABG, clear indications are still to be revised.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2021;volume=4;issue=2;spage=155;epage=158;aulast=Elcoronary artery bypass graftingcardiac surgeryminimal invasive cardiac surgery
spellingShingle Tamer El Banna
Mohamed M Mohamed
Ahmed Zaye
Yasser A Sadek
Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications
Journal of Medicine in Scientific Research
coronary artery bypass grafting
cardiac surgery
minimal invasive cardiac surgery
title Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications
title_full Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications
title_fullStr Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications
title_full_unstemmed Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications
title_short Minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization: Early experience and potential indications
title_sort minimal invasive cardiac surgery coronary artery bypass grafting and hybrid revascularization early experience and potential indications
topic coronary artery bypass grafting
cardiac surgery
minimal invasive cardiac surgery
url http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2021;volume=4;issue=2;spage=155;epage=158;aulast=El
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AT mohamedmmohamed minimalinvasivecardiacsurgerycoronaryarterybypassgraftingandhybridrevascularizationearlyexperienceandpotentialindications
AT ahmedzaye minimalinvasivecardiacsurgerycoronaryarterybypassgraftingandhybridrevascularizationearlyexperienceandpotentialindications
AT yasserasadek minimalinvasivecardiacsurgerycoronaryarterybypassgraftingandhybridrevascularizationearlyexperienceandpotentialindications