What is it about?
Coronary bypass grafting is the most frequent surgical procedure on the heart. But, less than 1% of all procedures in the world are done minimally invasively without cutting the sternal bone. We have developed the technique that facilitates the minimally invasive approach. We have shown for the first time that almost all these procedures could be safely done minimally invasively without selection of patients regardless age, gender, number of grafts, location of coronary targets, left ventricle ejection fraction, etc. This was previously thought impossible, as patient selection was considered to be very important.
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Why is it important?
Our findings show that excellent results could be obtained with routine use of small left anterior thoracotomy for coronary artery bypass grafting in all incoming patients for this procedure.
Perspectives
I hope this article will convince the surgical society that this safe and reproducible technique of minimally invasive coronary bypass grafting can be applied for every patient who need it. I believe that there is no place for large incisions in the current era of surgery. “Patient-friendly” surgery should be the priority when choosing best treatment option for our patients.
Oleksandr Babliak
Read the Original
This page is a summary of: Complete Coronary Revascularization via Left Anterior Thoracotomy, Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery, May 2019, SAGE Publications,
DOI: 10.1177/1556984519849126.
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