@article{oai:niigata-u.repo.nii.ac.jp:00015910, author = {小熊, 文昭}, issue = {9}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Sep}, note = {From Jan. to Sept. in 1998, we performed 11 minimally invasive direct coronary artery bypass (MIDCAB), aged from 33 to 73 (the mean age of 65 years). Nine patients had single vessel disease, and two had multivessel disease. One patient with triple vessel disease was indicated to MIDCAB because of his multiple occlusive cerebrovascular disease. In all cases, left internal thoracic artery was harvested via left anterior minithoracotomy, and was anastomosed to left anterior descending artery (LAD). Additional graft to more proximal portion of LAD was needed in one patient whose initial distal anastomosis was unreliable. All patients recovered without any complication, and there was no operative death. Postoperative angiographic studies showed 10/12 grafts were patent with one anastmotic stenosis. String-sign phenomenon was observed in another patient. Minimally invasive direct coronary artery bypass is usefull for patients with single vessel disease of LAD or occlusive cerebrovascular disease unsuitable to cardiopulmonary bypass.}, pages = {395--399}, title = {3) 循環器外科におけるminimally invasive surgery 低侵襲冠状動脈バイパス手術(MIDCAB)11例の検討(シンポジウム 各科領域におけるminimally invasive surgeryとQOL, 544回新潟医学会 )}, volume = {113}, year = {1999} }