Off-pump coronary artery bypass grafting through left antero-lateral thoracotomy (Thora-cab) – Case report and review of literature

Hilal Al-Sabti, Paresh Kumar Kuba, Suresh Chengode, Ashok Kumar Sharma*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We report the first case of off-pump complete myocardial revascularization through antero-lateral thoracotomy (Thora-CAB) in Middle-East. 69 year old gentleman having angina pectoris for last three years with severe double vessel disease involving the left anterior descending artery (95% proximal lesion) and the circumflex system (80% mid circumflex lesion with significant osteal disease in obtuse marginal) and insignificant disease in right coronary artery with moderate left ventricular impairment underwent Thora-CAB. Post-operatively, he had minimal pain, quick symptomatic improvement and no complications. He was discharged home on 5th post-operative day. This indicates that the thoracotomy approach is safe and practical for CABG. It is well tolerated hemodynamically with no/ minimal post-operative morbidity.

Original languageEnglish
Pages (from-to)278-281
Number of pages4
JournalOman Medical Journal
Volume23
Issue number4
Publication statusPublished - Oct 2008

Keywords

  • Anterolateral thoracotomy
  • Coronary artery bypass grafting
  • Thoracab

ASJC Scopus subject areas

  • General Medicine

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