RT Book, Section A1 Holzhey, David M. A1 Rastan, Ardawan J. A1 Mohr, Friedrich W. A2 Cohn, Lawrence H. SR Print(0) ID 55918207 T1 Chapter 25. Minimally Invasive Myocardial Revascularization T2 Cardiac Surgery in the Adult, 4e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-163310-9 LK accesssurgery.mhmedical.com/content.aspx?aid=55918207 RD 2024/03/28 AB The term minimally invasive coronary artery bypass grafting is not well defined. According to one definition, avoidance of cardiopulmonary bypass (CPB) is considered essential in decreasing the morbidity associated with conventional coronary artery bypass grafting (CABG).1 Other authors consider the median sternotomy as a potential source for morbidity, referring to the risk of mediastinitis and the associated delayed return to daily life activities.2 Accordingly, a number of surgical strategies have evolved to avoid the need for extracorporeal circulation and to minimize surgical access. Furthermore, operative strategies as avoidance of aortic manipulation or complete arterial revascularization focus on improved short- and long-term results. At the same time, it was widely recognized that open harvesting techniques for bypass grafts often are 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.