[Minimally invasive coronary artery bypass grafting and percutaneous coronary angioplasty in the patient with left main disease and chronic renal failure].

Abstract

This paper describes the utility of the minimally invasive CAB procedure as an adjuvent therapy to allow angioplasty for left main stenosis. A 73-year-old male who had chronic renal failure and left main coronary disease underwent a combined therapy with minimally invasive CABG and PTCA. The operation was reformed with a 9 cm incision. The fifth costal cartilage was removed. Internal thoracic artery (ITA) was dissected from the left side of the chest wall and anastomosed to the midportion of the left anterior descending coronary artery (LAD) with 7-0 with 7-0 Prolene. He was extubaded a few hours after the operation and resumed his dialysis schedule. On the fifth postoperative day he was electively returned to the catheterization laboratory, where he underwent successful angioplasty of the LMT to Lcx after patency of the LITA-LAD graft had been verified. He was discharged from our hospital ten days postoperatively.