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Vachev S.A.

Moscow Clinical Scientific Center

Kovshov G.V.

Moscow Clinical Scientific Center

Ushakov S.A.

Moscow Clinical Scientific Center

Makhotin A.A.

Moscow Clinical Scientific Center

Harvesting of distal left internal thoracic artery through anterior thoracotomy: surgical technique and case report

Authors:

Vachev S.A., Kovshov G.V., Ushakov S.A., Makhotin A.A.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(5): 602‑606

DOI: 10.17116/kardio202518051602

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Table of contents

HARVESTING OF DISTAL LEFT INTERNAL THORACIC ARTERY THROUGH ANTERIOR THORACOTOMY: SURGICAL TECHNIQUE AND CASE REPORT
HARVESTING OF DISTAL LEFT INTERNAL THORACIC ARTERY THROUGH ANTERIOR THORACOTOMY: SURGICAL TECHNIQUE AND CASE REPORT

To cite this article:

Vachev SA, Kovshov GV, Ushakov SA, Makhotin AA. Harvesting of distal left internal thoracic artery through anterior thoracotomy: surgical technique and case report. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(5):602‑606. (In Russ.)
https://doi.org/10.17116/kardio202518051602

ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The main surgical access for minimally invasive direct coronary artery bypass (MIDCAB) procedure is anterior thoracotomy in the IV intercostal space. This surgical access is used for harvesting of the left internal thoracic artery, opening the pericardial cavity and imposing the anastomosis between internal thoracic artery and left anterior descending artery. At the same time, it is difficult to harvest distal segment of this artery via thoracotomy in the IV intercostal space due to impossible adequate traction of the V and VI ribs and, as a consequence, impossible adequate visualization of appropriate area for surgical manipulations. The purpose of this report was to develop surgical technique for harvesting of distal segment of the left internal thoracic artery via anterior thoracotomy.

Keywords:

coronary artery bypass grafting
thoracotomy
left internal thoracic artery

Authors:

Vachev S.A.

Moscow Clinical Scientific Center

Kovshov G.V.

Moscow Clinical Scientific Center

Ushakov S.A.

Moscow Clinical Scientific Center

Makhotin A.A.

Moscow Clinical Scientific Center

Received:

15.09.2024

Accepted:

07.12.2024

Close metadata

References:

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  2. Schneider YuA, Tsoi VG, Pavlov AA, et al. Left thoracotomy for coronary artery bypass grafting in patients with CAD. Minimally Invasive Cardiovascular Surgery. 2023;3(3):26-34. (In Russ.).
  3. Zenkov AA, Isaev MN, Chernov II. Minimally Invasive Multivessel Coronary Artery Bypass Grafting: a Single Center’s Experience of 600 Cases. Minimally Invasive Cardiovascular Surgery. 2023;2(1):8-17. (In Russ.).
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  7. Weymann A, Amanov L, Beltsios E, et al. Minimally Invasive Direct Coronary Artery Bypass Grafting: Sixteen Years of Single-Center Experience. J Clin Med. 2024;13(11):3338. https://doi.org/10.3390/jcm13113338
  8. Reuthebuch O, Stein A, Koechlin L, et al. Five-Year Survival of Patients Treated with Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Compared with the General Swiss Population. Thorac Cardiovasc Surg. 2024;72(6):404-412.  https://doi.org/10.1055/s-0043-1768035
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