ウネ　ダイ   Dai Une   畝　大    所属   川崎医科大学  医学部 臨床医学　心臓血管外科学    職種   教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Off-pump minimally invasive coronary artery bypass grafting using the bilateral internal thoracic arteries and the right gastroepiproic artery.
掲載誌名	正式名：European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 略　 称：Eur J Cardiothorac Surg ISSNコード：1873734X/10107940
掲載区分	国外
巻・号・頁	49(4),pp.1285-6
著者・共著者	Keita Kikuchi, Dai Une, Atsushi Kurata, Marc Ruel
発行年月	2016/04
概要	We report our initial experience of an off-pump total arterial minimally invasive coronary arterial bypass grafting (MICS CABG) with the use of bilateral internal thoracic arteries (BITA) and the right gastroepiproic artery. A 47-year old male with renal dysfunction secondary to diabetes mellitus was admitted for heart failure due to severe triple-vessel disease. Off-pump MICS CABG with total arterial grafts was elected because the patient refused to undergo median sternotomy due to the strong desire to regain the baseline function promptly. Total arterial grafts were selected to maximize the potential long-term outcome. There were no postoperative complications except temporary dialysis. Postoperative coronary computed tomography revealed the patency of all grafts. Our experience suggests that BITA can be safely harvested under direct vision in MICS CABG. Total arterial graft revascularization with BITA via minimally invasive approach may offer the benefits of MICS CABG while providing the undetermined but potentially superior conduit longevity of arterial grafts.
DOI	10.1093/ejcts/ezv281
PMID	26369344