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PRELIMINARY RESULTS OF MINIMALLY INVASIVE CARDIAC SURGERY CORONARY ARTERY BYPASS GRAFT (MICS CABG) AT HEART INSTITUTE OF HO CHI MINH CITY
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Abstract
Background: Minimally Invasive Cardiac Surgery Coronary Artery bypass grafting (MICS CABG) is a novel coronary operation that has many advantages for patient with coronary artery disease. The aim of MICS CABG is to minimize the invasiveness of conventional CABG (with sternotomy) while preserving the applicability and durability of surgical revascularization. We report the preliminary results of the minimally invasive coronary artery bypass grafting procedure at the Heart Institute of Ho Chi Minh city. Methods: We performed a descriptive case series, from July 2023 to September 2023, with 20 patients undergoing coronary artery bypass grafting via left anterior thoracotomy. Results: All 20 patients underwent Minimally Invasive Cardiac Surgery Coronary Artery bypass grafting without the use of Heart-lung machine (Off-pump MICs CABG). The mean age was 61,06 ± 9,90 years, the number of males and females were 16 and 4 respectively. All these patients received left internal thoracic artery (LITA) to left anterior descending artery (LAD) as a standard graft. The saphenous vein being the next alternative conduit in case of need. The average length of incision was 6,8 ± 1,3 cm. The minimum number of grafts performed was 1, and the maximum was 3. The mean operative time was 134,5 ± 44,57 minutes. The average hospital stay was 5,5 ± 2,19 days. No surgical mortality and no major complications were reported. Conclusion: MICs CABG is a feasible and safe procedure that has many advantages in terms of technique and postoperative prognosis
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Keywords
Minimally Invasive Cardiac Surgery, MICS CABG, Off-pump
References
2. Fihn SD, Gardin JM, Abrams J, Berra K, Blankenship JC, Dallas AP, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2012;126(25):3097-137.
3. Lapierre H, Chan V, Ruel M. Off-pump coronary surgery through mini-incisions: is it reasonable? Curr Opin Cardiol. 2006;21(6):578-83.
4. McGinn JT, Jr., Usman S, Lapierre H, Pothula VR, Mesana TG, Ruel M. Minimally invasive coronary artery bypass grafting: dual-center experience in 450 consecutive patients. Circulation. 2009;120(11 Suppl):S78-84.
5. Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. [2018 ESC/EACTS Guidelines on myocardial revascularization. The Task Force on myocardial revascularization of the European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS)]. G Ital Cardiol (Rome). 2019;20(7-8 Suppl 1):1S-61S.
6. Rodriguez M, Ruel M. Minimally Invasive Multivessel Coronary Surgery and Hybrid Coronary Revascularization: Can We Routinely Achieve Less Invasive Coronary Surgery? Methodist Debakey Cardiovasc J. 2016;12(1):14-9.
7. Ruel M, Shariff MA, Lapierre H, Goyal N, Dennie C, Sadel SM, et al. Results of the Minimally Invasive Coronary Artery Bypass Grafting Angiographic Patency Study. J Thorac Cardiovasc Surg. 2014;147(1):203-8.