Mini OPCAB Mammary to Left Anterior Descending Artery Ideal Option for Hybrid Coronary Revascularization

Introduction: Here we will describe the actual surgical technique to per-form the left mammary artery
bypass to the left anterior descending artery, and the results of this operation in the Benetti
Foundation in the last 20 years.
Materials and Methods: The inclusion criteria for this operation were patients with a demonstrated
predominant isquemia Seventy patients were operated in the Benetti Foundation of these group 10
received Hybrid Revascularization. Surgical Technique after open the lower part of the sternum, the
left mammary artery is dissected around 8 cm. The pericardium is open and the mammary is
connected to the left anterior descending.
Results: Operative mortality in this series was 0%. One patient was converted to sternotomy Off
Pump (1, 4%). None of the grafts were revised after the measure with the Medistim System. 55 (79%)
were extubated in the operating room. The average Hospitalization stay were 60 hours (D +_17 ci
95%), 16 patients with Lima to LAD were restudied in the initially experience with 100% patency In the
10 patients that received Hybrid Revascularization the mortality was 0% and the MACE at 3 years
o%, at 144 months, 82% of the patients were alive and 68% asymptomatic.
Conclusion: More clinical experience is important to find the definitive indications of this technique;
and better technologies are required to be able to standardize this operation in definitive form.