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Toshiya Ohtsuka
Jun Nakajima
Shinichi Takamoto
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Eur J Cardiothorac Surg 2002;21:94-96
© 2002 Elsevier Science NL

How-to-do-it

Video-assisted limited anterior thoracotomy approach for lingular segmentectomy and left anterior descending coronary artery bypass

Toshiya Ohtsuka*, Jun Matsumoto, Jun Nakajima, Shinichi Takamoto

Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

Received 16 July 2001; received in revised form 7 October 2001; accepted 18 October 2001.

* Corresponding author. Tel.: +81-3-5800-8654; fax: +81-3-5684-3989
e-mail: ohtsuka-tho{at}h.u-tokyo.ac.jp

Minimally invasive cardiothoracic combined surgery was performed successfully in an octogenerian with left anterior descending coronary artery disease and concurrent adenocarcinoma in the lingular segment of emphysematous lung. Through a limited anterior 4th intercostal thoracotomy, left anterior descending coronary artery bypass grafting without cardiopulmonary bypass was carried out using the left internal thoracic artery (LITA) and the interposed vein graft, and subsequently lingular segmentectomy was accomplished. Videothoracoscopy via a single port placed at the 5th intercostal space below the left nipple was useful for LITA mobilization, lymph nodes sampling and endo-cutter guidance.

Key Words: Minimally invasive coronary artery bypass • Video-assisted thoracic surgery segmentectomy • Thoracoscopy






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Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.