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MIDCAB — small access bypass surgery

  • J. Cremer
  • S. Fraund

Abstract

After its first introduction in 1967 by Kolesov, MIDCAB regained new interest in the early 1990s. At that time Benetti, Calafiore, Subramanian and Boonstra [1-3, 13] reported on LIMA grafting to the LAD through a similar minithoracotomy using specialized equipment for intrathoracic exposure and local immobilization of the target area. Along with the availability of suitable equipment a broad interest for MIDCAB grafting developed, as MIDCAB combines the two major procedural advantages of beating off-pump surgery and minimal access. Beside the ‘original’ MIDCAB procedure (beating heart off-pump, anterior minithoracotomy, LIMA-LAD bypass) several modifications have been attempted including parasternal incisions and inferior ministernotomies [7, 9, 12]. Sometimes mobilization or partial resection of one or two ribs became necessary.

Keywords

Minimally Invasive Direct Coronary Artery Bypass Invasive Direct Coronary Artery Bypass Endothoracic Fascia Intercostal Hernia Distal Pedicle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • J. Cremer
  • S. Fraund

There are no affiliations available

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