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Eur J Cardiothorac Surg 1999;16:S43-S47
© 1999 Elsevier Science NL

Patient selection for Port-Access^TM multi vessel revascularization

^a Department of Thoracic and Cardiovascular Surgery, J.W. Goethe University, Theodor Stern-Kai 7, D-60590 Frankfurt am Main, Germany
^b Department of Anesthesiology, Intensive Care, and Pain Therapy, J.W. Goethe University, Theodor Stern-Kai 7, D-60590 Frankfurt am Main, Germany

^* Corresponding author. Tel.: +49-69-6301-6141; fax: +49-69-6301-5849

Minimally invasive multivessel revascularization is rarely performed due to the difficult exposure of the aorta as well as the complete coronary anatomy through a small thoracotomy. The Port-Access^TM technique bears additional contraindications for this procedure, which limits its potential as compared with other approaches to ‘less invasive surgery'. Our aim was to show the applicability of this surgical technique to a wide range of patients with coronary artery disease. In our initial experience with this method (31 patients), the quality of anastomoses, graft patency, and clinical outcome are good, and do not differ from standard multivessel coronary artery bypass grafting. Port-Access^TM multivessel revascularization can be performed safely and is appropriate for a large patient population.

Key Words: Port-Access surgery • Coronary artery bypass grafting • Minimally invasive cardiac surgery

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