Hybrid Cardiac Revascularisation Surgery

EKW Sim, RT Grignani, A Cheng, TT Lim, YT Lim, HS Saw
Correspondence: A/Prof E K W Sim

ABSTRACT
Currently, 3 methods of myocardial revascularisation are available for the treatment of coronary artery disease: i) coronary artery bypass grafting (CABG); ii) percutaneous transluminal coronary angiography (PTCA), and iii) transmyocardial laser revascularisation (TMR). Until recently, these procedures were performed exclusive to one another. We report 2 cases of minimally invasive direct coronary artery bypass grafting with subsequent PTCA, and 1 case of staged PTCA followed by TMR performed at our institution. We discuss the role of hybrid procedures in the current era of treatment of ischaemic heart disease.

Keywords: hybrid surgery; minimally invasive direct coronary artery bypass; transmyocardial laser revascularisation, percutaneous transluminal coronary angioplasty
Singapore Med J 2000; 41(1): 36-38