Coronary bypass grafting using MICSCAB technique with parallel artificial circulation from mini access

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Abstract

BACKGROUND: Today, minimally invasive coronary surgery is not only a good alternative to classical sternotomy, but also represents a separate developing area of cardiac surgery with the development of more and more low-traumatic techniques, such as minimally invasive direct coronary artery bypass and minimally invasive direct coronary artery bypass (MICSCAB).

CLINICAL CASE DESCRIPTION: The advantages and disadvantages of these techniques are widely discussed in modern literature, and their practical application is ambiguous. This article describes a clinical case of successful coronary artery bypass grafting using the MICSCAB technique in a patient with a long history of coronary artery disease and a complex multivessel lesion.

CONCLUSION: The presented clinical case proves the advantage of MICSCAB technique in comparison with traditional coronary bypass surgery.

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About the authors

Ulugbek Sh. Teshaev

Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov

Author for correspondence.
Email: ulug_leo@mail.ru
Uzbekistan, 1, Navoi street, 200118, Bukhara

Rustam R. Yarbekov

Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov

Email: yarbekov@mail.ru
ORCID iD: 0000-0001-5918-8181

MD, Dr. Sci. (Med.)

Uzbekistan, Tashkent

Sanzhar Kh. Omonov

Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov

Email: sanjikomon@mail.ru

MD, Cand. Sci. (Med.)

Uzbekistan, Tashkent

Maksud M. Muradov

Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov

Email: mmmaksud1986@gmail.com
ORCID iD: 0000-0002-7599-9803

MD, Cand. Sci. (Med.)

Uzbekistan, Tashkent

Gulnora A. Nagaeva

Multidisciplinary Medical Center “EZGU NIYAT”

Email: nagaeva.gulnora@mail.ru
ORCID iD: 0000-0001-8643-0201

MD, Cand. Sci. (Med.)

Uzbekistan, Tashkent

References

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  2. Shabaev IF, Tarasov RS, Kozyrin KA. In-hospital results of minimally invasive off-pump coronary artery bypass grafting. Complex Issues of Cardiovascular Diseases. 2019;8(2):58–67. (In Russ). doi: 10.17802/2306-1278-2019-8-2-58-67
  3. Niclauss L. Techniques and standards in intraoperative graft verification transit time flow measurement after coronary artery by passgraft surgery: a critical review. Eur J Cardiothorac Surg. 2017;51(1):26–33. doi: 10.1093/ejcts/ezw203
  4. Zenkov AA. Life quality analysis on the application of different methods of surgical myocardial revascularization: prospective randomized trial MICSREVS. Vestnik of Vitebsk State Medical University. 2018;(1):68–80. (In Russ). doi: 10.22263/2312-4156.2018.1.68
  5. Lamy A, Devereaux PJ, Prabhakaran D, et al. Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year. N Eng J Med. 2013;368(13):1179–1188. doi: 10.1056/NEJMoa1301228
  6. Sidorov RV, Bazilevich AV, Katkov AA. Low invasive coronary surgery: overview of coronary heart disease modern surgical treatment techniques. Bulletin of Pirogov National Medical & Surgical Center. 2021;16(3):84–88. (In Russ). doi: 10.25881/20728255_2021_16_3_84
  7. Neumann F-J, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS guidelines on myocardial revascularization the task force on myocardial revascularization of the European society of cardiology (ESC) and the European association for cardio-thoracic surgery (EACTS) developed with the special contribution of the European association of percutaneous cardiovascular interventions (EAPCI). Russian Journal of Cardiology. 2019;24(8):151–226. (In Russ). doi: 10.15829/1560-4071-2019-8-151-226
  8. Cao C, Indraratna P, Doyle M, et al. A systematic review on robotic coronary artery bypass graft surgery. Ann Cardiothorac Surg. 2016;5(6):530–543. doi: 10.21037/acs.2016.11.08

Supplementary files

Supplementary Files
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1. Fig. 1. Findings of coronary angiography of patient M. dated October 18, 2021: (a) stenoses are visualized in the anterior interventricular branch, the circumflex branch, and intermedial artery; (b) visualization of the anterior interventricular branch; (c) visualization of the circumflex branch and the intermedial artery; (d) right coronary artery, left oblique view; (e) right coronary artery, cranial view.

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2. Fig. 2. Stages of surgical cardiac intervention: (а) clamping of the ascending aorta; (b) imposition of proximal anastomoses; (c) flowmetry of the left internal thoracic artery-anterior interventricular branch shunt; (d) final view. Here: RA, right atrium; 5rib, fifth rib; LV, left ventricle; LIMA, left intramammary artery.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: 01016 от 19.07.1995 г
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80632 от 15.03.2021 г
.



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