Methods for performing thoracoscopic coronary artery bypass
First Claim
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1. A method for forming a coronary artery bypass graft in a patient, said method comprising:
- forming at least one percutaneous penetration in the patient'"'"'s chest;
viewing the region of the heart through a viewing scope disposed through a percutaneous penetration;
forming an arterial blood source;
endovascularly partitioning the patient'"'"'s arterial system at a location within the ascending aorta between the brachiocephalic artery and the coronary ostia;
establishing cardiopulmonary bypass;
stopping heart contraction; and
connecting the arterial blood source to a location in a coronary artery downstream from an occlusion using tools introduced through a percutaneous penetration while viewing the region of the stopped heart through the viewing scope.
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Abstract
A method for performing coronary artery bypass relies on viewing the cardiac region through a thoracoscope or other viewing scope and endovascularaly partitioning the patient'"'"'s arterial system at a location within the ascending aorta. The coronary artery bypass procedures are formed under cardiopulmonary bypass and cardioplegia, where an arterial blood source is created using least invasive surgical techniques.
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Citations
10 Claims
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1. A method for forming a coronary artery bypass graft in a patient, said method comprising:
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forming at least one percutaneous penetration in the patient'"'"'s chest; viewing the region of the heart through a viewing scope disposed through a percutaneous penetration; forming an arterial blood source; endovascularly partitioning the patient'"'"'s arterial system at a location within the ascending aorta between the brachiocephalic artery and the coronary ostia; establishing cardiopulmonary bypass; stopping heart contraction; and connecting the arterial blood source to a location in a coronary artery downstream from an occlusion using tools introduced through a percutaneous penetration while viewing the region of the stopped heart through the viewing scope. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. An improved method for performing coronary artery bypass in a patient, said method including the steps of creating an arterial blood source and connecting the created arterial blood source through a wall in a coronary artery downstream from an occlusion, wherein the improvement comprises performing said steps using tools introduced percutaneously through the thorax while viewing the exterior of the coronary artery using a percutaneously introduced viewing scope.
Specification