TY - CHAP M1 - Book, Section TI - Minimally Invasive Myocardial Revascularization A1 - Davierwala, Piroze M. A1 - Holzhey, David M. A1 - Mohr, Friedrich W. A2 - Cohn, Lawrence H. A2 - Adams, David H. Y1 - 2017 N1 - T2 - Cardiac Surgery in the Adult, 5e AB - The term minimally invasive coronary artery bypass grafting (CABG) is not well defined. According to one definition, avoidance of cardiopulmonary bypass (CPB) is considered essential in decreasing the morbidity associated with conventional CABG.1 Other authors consider median sternotomy as a potential source for morbidity, due to increased risk of deep sternal wound infection and mediastinitis and delayed return to daily activities.2 Accordingly, a number of surgical strategies have evolved to avoid the need for extracorporeal circulation and minimize surgical access. Furthermore, eluding aortic manipulation and complete arterial revascularization are operative strategies that focus on improving short and long-term results. Likewise, it was widely recognized that conventional harvesting techniques for bypass grafts are often associated with wound-healing problems, especially in diabetic patients. As a consequence, endoscopic harvesting techniques for both, venous and radial artery grafts have been developed. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/07 UR - accesssurgery.mhmedical.com/content.aspx?aid=1144152452 ER -