Minimally invasive cardiac surgery is establishing itself as the standard of care across the world. MICS CABG is currently performed in only a few centers. Hemodynamics disturbances are peculiar during MICS CABG due to space constraints. We report a 70-year-old man who underwent MICS CABG who developed tension pneumothorax during revascularization that was diagnosed in a novel way.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070341PMC
http://dx.doi.org/10.4103/0971-9784.191543DOI Listing

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A review of nomenclature in minimally invasive coronary artery bypass grafting-the anarchy of terminology.

Interdiscip Cardiovasc Thorac Surg

December 2024

Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, The Netherlands.

Objectives: Since the development of minimally invasive coronary surgery, nomenclature has rapidly grown to distinguish each unique method. The goal of this review was to provide a comprehensive overview of the different terms used for minimally invasive coronary bypass grafting through the years.

Methods: A literature search was performed in August 2024 using the PubMed electronic database.

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Article Synopsis
  • The study compared long-term outcomes of minimally invasive coronary artery bypass grafting (MICS CABG) with traditional surgery through sternotomy, involving 158 patients for MICS and 150 for sternotomy.
  • The results showed no significant differences in 5-year survival rates or freedom from adverse cardiac events between the two groups, but MICS CABG had lower rates of wound complications and shorter hospital stays.
  • Overall, MICS CABG proved to be a safe and effective alternative, offering similar long-term results while providing benefits like faster recovery and reduced rehabilitation time, particularly for patients at higher risk of complications.
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Objectives: Minimally invasive coronary artery bypass grafting (MICS CABG) allows visualization and revascularization of all myocardial territories through a small anterolateral thoracotomy, with or without cardiopulmonary bypass. It is increasing in popularity as a safe and effective alternative to sternotomy CABG. In this study, we examined the correlates and long-term outcomes of repeat revascularization (RR) in patients who undergo MICS CABG.

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Article Synopsis
  • The study investigates the long-term outcomes of minimally invasive multi-vessel off-pump coronary artery bypass grafting (MICS CABG) compared to minimally invasive direct coronary artery bypass (MIDCAB) surgery, focusing on aspects like angina pectoris and overall survival.
  • Researchers conducted a retrospective analysis of 1,149 patients from a single center, adjusting for preoperative demographics to ensure fair comparison between the two surgical methods.
  • Results show that long-term outcomes, such as the rate of freedom from angina and survival rates, were quite similar for both MICS CABG and MIDCAB, suggesting that MICS CABG could be a viable alternative despite its lower adoption rate.
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Objective: We conducted a systematic review of all available evidence on the feasibility and safety of minimally invasive coronary artery bypass grafting (MICS CABG) in patients with multivessel coronary artery disease (CAD).

Methods: A systematic literature search in PubMed, MEDLINE via Ovid, Embase, Scopus, and Web of Science was performed to identify all relevant studies evaluating outcomes of MICS CABG among patients with multivessel CAD and including at least 15 patients with no restriction on the publication date.

Results: A total of 881 studies were identified, of which 26 studies met the eligibility criteria.

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