caa a22 4500 475753348 CHVBK 20180406123530.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s005950050611 doi (NATIONALLICENCE)springer-10.1007/s005950050611 Importance of Preoperative Marking for Minithoracotomy and for Internal Thoracic Artery Harvesting in Minimally Invasive Direct Coronary Artery Bypass Grafting [Elektronische Daten] [Nobuaki Hirata, Shigeaki Ohtake, Yoshiki Sawa, Masao Yoshitatsu, Hiroshi Kato, Nobukazu Ohkubo, Hikaru Matsuda] Minimally invasive direct coronary artery bypass has the potential to cause an anastomotic failure because of a limited exposure of the operative field and the difficulty of internal thoracic artery harvesting. In the present study, the importance of preoperative marking for an accurate minithoracotomy location and a successful internal thoracic artery harvest was assessed. A paperclip was placed on the left nipple and a chest X-ray was performed in the supine position. By aligning the position of the paperclip to the location of the left anterior descending coronary artery from a coronary arteriogram frontal view, the intercostal space for the minithoracotomy was thus determined. Marking the incisional intercostal space during preoperative left internal thoracic arteriography revealed the number and location of the internal thoracic artery branches at the beginning of the harvest. This preoperative marking technique allowed for a more adequate exposure of the operative field and an easier internal thoracic artery harvest which therefore contributed to an improvement in the operative results.: Springer-Verlag Tokyo, 2000 Key Words: preoperative marking, minimally invasive direct coronary artery bypass nationallicence Hirata Nobuaki First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut Ohtake Shigeaki First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut Sawa Yoshiki First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut Yoshitatsu Masao First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut Kato Hiroshi Division of Cardiovascular Surgery, Toyonaka Municipal Hospital, 4-14-1 Shibaharacho, Toyonaka, Osaka 560-8565, Japan, JP aut Ohkubo Nobukazu Division of Cardiovascular Surgery, Toyonaka Municipal Hospital, 4-14-1 Shibaharacho, Toyonaka, Osaka 560-8565, Japan, JP aut Matsuda Hikaru First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut https://doi.org/10.1007/s005950050611 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050611 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hirata Nobuaki First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut NATIONALLICENCE 700 1- Ohtake Shigeaki First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut NATIONALLICENCE 700 1- Sawa Yoshiki First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut NATIONALLICENCE 700 1- Yoshitatsu Masao First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut NATIONALLICENCE 700 1- Kato Hiroshi Division of Cardiovascular Surgery, Toyonaka Municipal Hospital, 4-14-1 Shibaharacho, Toyonaka, Osaka 560-8565, Japan, JP aut NATIONALLICENCE 700 1- Ohkubo Nobukazu Division of Cardiovascular Surgery, Toyonaka Municipal Hospital, 4-14-1 Shibaharacho, Toyonaka, Osaka 560-8565, Japan, JP aut NATIONALLICENCE 700 1- Matsuda Hikaru First Department of Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer