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KMID : 0364019960290111263
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 11 p.1263 ~ p.1266
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Minimally Invasive Coronary Artery Bypass without Extracorporeal Circulation -One case report-
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박이태
서필원/김삼현/이상민/김영권
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Abstract
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We have experienced a case of coronary artery bypass surgery without extracorporeal circulation through limited anterior anterior thoracotomy. The lesion was a single vessel disease involving the take off of the left anterior descending
artery(LAD)
which showed tubular lesion with irregular contour and eccentric stenosis of more than 95% luminal narrowing. Percutaneous transluminal coronary angioplasty(PTCA) seemed to have moderate success rate and moderate complication rate.
A segment of left internal mammary artery(LIMA) from the second rib down to the sixth sixth rib was harvested through the bed of resected fourth costal cartilage. Anastomosis between LIMA and LAD was performed under beating condition.
The patient was extubated in the operation room and showed excellent postoperative course without complications.
The coronary angiography on the postoperative 7th day revealed good patency at the anastomosis site.
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KEYWORD
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