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Case Reports
. 2008 Oct;23(4):278-81.

Off-pump coronary artery bypass grafting through left antero-lateral thoracotomy (thora-cab) - case report and review of literature

Hilal Al-Sabti  1 , Paresh Kumar Kuba, Suresh Chengode, Ashok Kumar Sharma
Affiliations
Case Reports

Off-pump coronary artery bypass grafting through left antero-lateral thoracotomy (thora-cab) - case report and review of literature

Hilal Al-Sabti et al. Oman Med J. 2008 Oct.

Abstract

We report the first case of off-pump complete myocardial revascularization through antero-lateral thoracotomy (Thora-CAB) in Middle-East. 69 year old gentleman having angina pectoris for last three years with severe double vessel disease involving the left anterior descending artery (95% proximal lesion) and the circumflex system (80% mid circumflex lesion with significant osteal disease in obtuse marginal) and insignificant disease in right coronary artery with moderate left ventricular impairment underwent Thora-CAB. Post-operatively, he had minimal pain, quick symptomatic improvement and no complications. He was discharged home on 5th post-operative day. This indicates that the thoracotomy approach is safe and practical for CABG. It is well tolerated hemodynamically with no/ minimal post-operative morbidity.

Keywords: Anterolateral thoracotomy; Coronary artery bypass grafting; Thoracab.

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Figures

Figure 1
Figure 1
Exposure of the Ascending Aorta and the Right Atrial Appendage.
Figure 2
Figure 2
Internal Mammary Artery Anastomosis and the Proximal Anastomosis
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