AI Article Synopsis

  • The authors discussed a new method of minimally invasive reoperation for coronary artery disease in five patients who had previous CABG surgery about 7.5 years earlier.
  • Each patient received a different surgical approach, including thoracotomy and laparotomy, due to occluded venous grafts.
  • All patients experienced a smooth recovery, were extubated in the operating room, and showed no significant complications, transferring to the cardiology department after 5-7 days post-surgery.

Article Abstract

The authors presented the method and early results of minimally invasive direct coronary arteries reoperation in 5 patients, approximately 7, 5 years after the first CABG operation. In all patients venous grafts were occluded. there was a different approach used in every patient: small left or right anterior thoracotomy through IV or V intercostal space, laparotomy with partial low sternotomy or simultaneous combined approach through thoracotomy and sternotomy/laparotomy. The following arteries were grafted: left anterior descending, right posterior descending, LAD with right coronary artery and LAD with marginal branch. All patients were extubated in the operating room. There were no serious perioperative complications observed. Patients were transferred to cardiology department on the 5th-7th postoperative day.

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