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Minimally Invasive Coronary Artery Bypass Surgery

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Coronary Graft Failure

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Abstract

The minimally invasive coronary artery bypass grafting (CABG) surgery is defined as any innovation brought to the conventional CABG procedure to reduce the patient surgical trauma. This innovation could be the elimination of cardioplegic solution, the elimination of the heart-lung-machine, off-pump coronary artery bypass (OPCAB), the avoidance of the aortic manipulation, or the avoidance of the median sternotomy. The primary goal is to achieve graft patency rates equal to conventional CABG and to reduce repeated revascularization. The secondary goals are to reduce invasivity by reducing the surgical pain and the postoperative discomfort, facilitating a more rapid return to a normal social life and activity. Not of less interest are economic goals such as reduced length of hospital stay and decreased costs. Minimally invasive direct coronary artery bypass (MIDCAB) and minimally invasive cardiac surgery-coronary artery bypass grafting (MICS-CABG) represent the best alternative revascularization strategies to percutaneous coronary intervention (PCI) for patients with single-vessel or two-vessel disease, with chronic vessel occlusion or in-stent restenosis. The value of the minimally invasive coronary surgery will increase compared with the conventional CABG only if the same results can be reproduced with a decreased patient morbidity and mortality rate.

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Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Robert Bosch Hospital, Stuttgart, Baden-Wuerttemberg, Germany

    Adrian Ursulescu MD, Alina Stan, Magdalena Rufa & Ulrich Franke MD, PhD

  2. Department of Anesthesia and Intensive Care, Fundeni Clinical Institute, Bucharest, Romania

    Gabriela Droc MD, PhD

Authors
  1. Adrian Ursulescu MD
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  2. Gabriela Droc MD, PhD
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  3. Alina Stan
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  4. Magdalena Rufa
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  5. Ulrich Franke MD, PhD
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Correspondence to Adrian Ursulescu MD .

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Editors and Affiliations

  1. Cardiology, Army's Center for Cardiovascular Di, Bucharest, Romania

    Ion C. Ţintoiu

  2. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

  3. University Fribourg, Hospital HFR Fribourg, Fribourg, Fribourg, Switzerland

    Stephane Pierre Cook

  4. Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

    Hironori Kitabata

  5. University Medical Center, Texas Tech Univ. Health Science Center, EL PASO, Texas, USA

    Aamer Abbas

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Ursulescu, A., Droc, G., Stan, A., Rufa, M., Franke, U. (2016). Minimally Invasive Coronary Artery Bypass Surgery. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-26515-5_7

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