Open AccessEndoscopic Internal Thoracic Artery Harvesting with Changes in Scope Position
Author(s) -
Yoshihiro Goto,
Sho Takagi,
Junji Yanagisawa,
Akio Nakasu,
Yasuhide Okawa
Publication year - 2021
Publication title -
the heart surgery forum/the heart surgery forum
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 38
eISSN - 1522-6662
pISSN - 1098-3511
DOI - 10.1532/hsf.4195
Subject(s) - medicine , internal thoracic artery , artery , subclavian artery , radiology , stent , endoscopy , surgery , bypass grafting
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.