The History of Opcab (Off Pump) Coronary Surgery by Federico Benetti in Surgery & Case Studies-Open Access Journal in Lupine Publishers
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].
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