Minimally invasive direct coronary artery bypass grafting (MIDCAB) through a small anterior minithoracotomy for single-vessel revascularization to the left anterior descending coronary artery (LAD) have been introduced as an alternative to standard coronary artery bypass grafting and have become widely employed [3, 14]. For further improvement in patient outcome, new clinical pathways have emerged [5]. With an endoscopic approach using robotic-enhanced surgery, the surgical trauma can be minimized. Endoscopic techniques allows complete and atraumatic mobilization of the internal mammary artery (IMA) with a small amount of chest wall trauma. Thus, no spreading of the rib cage or removal of ribs is required, reducing postoperative pain and improving patient satisfaction.


Left Anterior Descend Anterior Axillary Line Minimally Invasive Direct Coronary Artery Bypass Invasive Direct Coronary Artery Bypass Ethicon EndoSurgery 
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© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • C. Detter
  • D. Böhm

There are no affiliations available

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