MINIMALLY INVASIVE BILATERAL INTERNAL MAMMARY ARTERY BYPASS-GRAFTING

We report about a 71-year-old man with coronary artery double-vessel d isease who received minimally invasive coronary artery bypass grafting through a 9-cm left lateral chest incision in the third intercostal s pace. Both mammary arteries were harvested either directly (left inter nal mammary artery) or thoracoscopically (right internal mammary arter y) and anastomosed to the left anterior descending artery and the circ umflex artery through this single left lateral chest incision. The pos toperative course was uneventful, and the patient was discharged on po stoperative day 5. (C) 1998 by The Society of Thoracic Surgeons.