Median sternotomy or combined multiple minimally invasive approaches are cu
rrently used to revascularize patients with multivessel coronary artery dis
ease on the beating heart. We present here a new alternative approach for m
inimally invasive coronary surgery on the beating heart: the reversed-J inf
erior sternotomy. Through this approach, the left anterior descending, diag
onal, and right coronary arteries can be revascularized via a single minima
lly invasive approach. (Ann Thorac Surg 1999;67:1505-6) (C) 1999 by The Soc
iety of Thoracic Surgeons.