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Eur J Cardiothorac Surg 1999;16:S112-S116
© 1999 Elsevier Science NL

A case for minimally invasive coronary surgery as primary treatment for left anterior descending coronary artery disease

Cardiac Surgical Associates, P.A. 920 East 28th Street, Suite 420, Minneapolis, MN 55407, USA

^* Corresponding author. Tel.: +1-612-863 3950; fax: +1-612-863-3817

Objective: The introduction of minimally invasive coronary bypass surgery has allowed the application of multiple approaches to coronary artery disease. Methods: Technologic developments have resolved patency and myocardial ischemic issues and increased surgical experience and training have combined to make more coronary bypass surgeons facile in minimally invasive surgical techniques. Results: These advances, along with the decreased invasiveness, shortened recovery and lower cost, suggest the application of these techniques to the primary treatment of disease of the anterior descending artery. Conclusion: In selected circumstances such as these in which patient co-morbid risk factors would suggest high recurrence rates in complex lesions or total occlusion of the anterior descending coronary artery and present in cases of in-stent restenosis, primary application of minimally invasive bypass techniques may create long-term benefits for patients.

Key Words: Minimally invasive coronary surgery • Interventional cardiology

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