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Minimally Invasive Cardiac Surgery: Current Status and Perspective
Author(s) -
Matsuda Hikaru,
Sawa Yoshiki,
Takahashi Toshiki,
Hirata Nobuaki,
Ohtake Shigeaki
Publication year - 1998
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.1998.06132.x
Subject(s) - medicine , cardiopulmonary bypass , intracardiac injection , minimally invasive cardiac surgery , thoracotomy , parasternal line , median sternotomy , cardiology , artery , cardiac surgery , surgery , anastomosis , cardiothoracic surgery
Recently, the minimally invasive approach has become a growing aspect in the field of cardiac surgery with the goal of eliminating cardiopulmonary bypass (CPB) and/or median sternotomy. In coronary bypass surgery, the application of this approach is direct anastomosis, primarily of the left internal thoracic artery to the left descending coronary artery under a beating condition without the use of CPB through a small left thoracotomy minimally invasive direct coronary artery bypass (MIDCAB). In the repair of intracardiac lesions, CPB cannot be excluded, but a small right parasternal incision or small partial sternotomy (ministernotomy) has been applied for congenital defects and mitral and aortic valve lesions. With technological advances in CPB, these approaches may become more popular in the near future.