关键词: 胸腔镜, 冠状动脉旁路移植术

Abstract: 【Abstract】〓Objective〓To study clinical application of video-assisted coronary artery bypass. Methods〓During September 2005 to July 2013, left internal mammary artery was harvested and video-assisted coronary bypass was performed in 9 cases (male 5 and female 4) with coronary disease. The anastomoses of left internal mammary artery to left anterior descending was performed without cardiopulmonary bypass in 8 cases..Atrial septal defect repair and the anastomoses of right internal mammary to right coronary artery were performed with cardiopulmonary bypass in 1 case. Results〓The whole surgical procedure of video-assisted coronary artery bypass were completed successfully. The time of internal mammary artery harvesting was 31-47 min (39.3±5.9 min). The time of the anastomoses of internal mammary to coronary artery was 6-7 min (5.2±1.4 min). The time of staying in ICU was 2-4 days. All cases were discharged 9-12 days. Conclusion The short-term effect of harvesting internal mammary artery and video-assisted coronary artery is satisfactory.

Key words: Thoracoscopy, Coronary artery bypass grafting