After the advent of the heart-lung machine, few surgeons continued to use the OPCAB technique, Among those were Benetti and Buffolo from South America, who published in the early 1990s the first two large series on OPCAB surgery [1-3]. Several surgical approaches were tested, such as full sternotomy, no spreading sternotomy including left, anterolateral, Posterolateral and right anterolateral thoracotomies, as well as partial sternotomy [3]. The video-assisted techniques in the nineties allowed us, for the first time, to dissect the left internal thoracic artery (LITA) without opening the pleura cavity. The LITA was anastomosed to the left anterior descending (LAD) through a small left anterior thoracotomy and the MIDCAB operation was create [4-6].
http://www.lupinepublishers.com/scsoaj/abstracts/SCSOAJ.MS.ID.000111.php
http://www.lupinepublishers.com/scsoaj/pdf/SCSOAJ.MS.ID.000111.pdf
http://www.lupinepublishers.com/scsoaj/fulltext/SCSOAJ.MS.ID.000111.php
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