Abstract

Results Between 2008-2013 (June) a total of 2316 CABGs were performed at our department, out of which 149 (6,4%) were MIDCABs. The mean age of pts was 67 years (±12), male/female ratio 89/60. Indications were as follows isolated LAD stenosis 64, hybrid procedure (combination with PCI) 27, in-stent restenosis 4, palliative single vessel procedure 30, redo after previous cardiac surgery 9, different malignancy 8. Intraoperative conversion to full sternotomy 2 (1,3%), re-exploration for bleeding 2 (1,3%), 30-day mortality 2 (1,3 %).

Highlights

  • Invasive direct coronary artery bypass grafting (MIDCAB) has become an interesting alternative to conventional surgery, especially in patients with isolated LAD stenosis unsuitable for PCI, in-stent restenosis or in all patients where avoidance of sternotomy and extracorporeal circulation can decrease the potential high risk of conventional CABG

  • To analyze the results of Minimally invasive direct coronary artery bypass grafting (MIDCAB) surgery at our department

  • Between 2008-2013 (June) a total of 2316 CABGs were performed at our department, out of which 149 (6,4%) were MIDCABs

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Summary

Introduction

Invasive direct coronary artery bypass grafting (MIDCAB) has become an interesting alternative to conventional surgery, especially in patients with isolated LAD stenosis unsuitable for PCI, in-stent restenosis or in all patients where avoidance of sternotomy and extracorporeal circulation can decrease the potential high risk of conventional CABG. Invasive direct coronary artery bypass grafting (MIDCABG) - our experience in Olomouc, Czech Republic From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons Split, Croatia.

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