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Catheter-Assisted Totally Thoracoscopic Coronary Artery Bypass Grafting: A Feasibility Study  Gilles Soulez, Michel Gagner, Eric Therasse, Fadi Basile,

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1 Catheter-Assisted Totally Thoracoscopic Coronary Artery Bypass Grafting: A Feasibility Study 
Gilles Soulez, Michel Gagner, Eric Therasse, Fadi Basile, Ignacio Prieto, Philippe Pibarot, Claude Laflamme, Louis Lamarre, Hani Shennib  The Annals of Thoracic Surgery  Volume 64, Issue 4, Pages (October 1997) DOI: /S (97)

2 Fig. 1 (Top) Access to left femoral artery for cardiopulmonary bypass, right carotid artery for aortic clamping and cardioplegia infusion, and right femoral artery for internal mammary artery (IMA) and left anterior descending artery catheterization. (Bottom) Right and left venous and left femoral arterial access for cardiopulmonary bypass. (CCA = common carotid artery; EJV = external jugular vein; IVC = inferior vena cava; SVC = superior vena cava.) The Annals of Thoracic Surgery  , DOI: ( /S (97) )

3 Fig. 2 (A) Right side of anastomosis suture. (B) Left side of anastomosis suture over the angiographic catheter. (IMA = internal mammary artery.) The Annals of Thoracic Surgery  , DOI: ( /S (97) )

4 Fig. 2 (A) Right side of anastomosis suture. (B) Left side of anastomosis suture over the angiographic catheter. (IMA = internal mammary artery.) The Annals of Thoracic Surgery  , DOI: ( /S (97) )

5 Fig. 3 Endoscopic view of an anastomosis completed with the angiographic catheter still inside the internal mammary artery and the left anterior descending artery. Fibrin glue was applied to seal the anastomosis. The Annals of Thoracic Surgery  , DOI: ( /S (97) )

6 Fig. 4 Angiographic control of a tight and patent anastomosis.
The Annals of Thoracic Surgery  , DOI: ( /S (97) )


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