Redo endoscopic assisted coronary artery bypass grafting in an 86-year-old patient: a case report and technical review.
Aryian Naghashzadegan, Abdullah Kaya
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Case in brief
An 86-year-old male with a history of CABG presented with recurrent angina due to graft occlusion and a circumflex lesion that was not amenable to intervention. The patient underwent endoscopically assisted CABG, which included thoracoscopic adhesiolysis and internal mammary harvesting, followed by a hand-sewn coronary anastomosis through a limited left thoracotomy. He recovered well and was discharged on postoperative day 6, remaining asymptomatic at one-month follow-up.
Diagnostic / clinical pearl
Endoscopically assisted CABG can be a safe and effective option for revascularization in elderly patients with prior sternotomy, minimizing surgical trauma and promoting quicker recovery.