Minimally invasive total arterial off-pump coronary revascularization: A reproducible technique

It has been over five decades since the first coronaryartery bypass grafting (CABG) of a left internalthoracic artery (LITA) to the left anterior descending(LAD) artery was described by Kolesov in 1964.[1,2]The use of the saphenous vein and radial artery asconduits and the feasibility of multiple coronarybypass grafts was described soon thereafter.[3,4] WhileCABG is accepted as recommended therapy for multivesseldisease requiring revascularization, the standardapproach toward this goal has been through a fullsternotomy. While being the most practiced and easilyreproducible, this approach maybe associated withsignificant morbidity in both short- and long-term.

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