{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T21:21:26Z","timestamp":1782249686998,"version":"3.54.5"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Coronary artery bypass grafting or supra-arterial myotomy is now suggested as a better therapeutic option in myocardial bridging (MB) when medical treatment fails to control symptoms. For left anterior descending (LAD) MB, minimally invasive coronary artery bypass via a lower ministernotomy can be offered.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Forty-four consecutive patients who underwent elective minimally invasive coronary artery bypass surgery from 2005 to 2014 via an inferior sternotomy using the left internal mammary artery as a bypass graft for LAD MB were evaluated retrospectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The mean age was 59.1\u2009\u00b1\u200913.1\u2009years with 26 (59%) men and 18 (41%) women. The mean body mass index was 27.2\u2009\u00b1\u20093.9 and the mean EuroSCORE II was 1.6\u2009\u00b1\u20091.8. Routine coronary multislice computed tomography angiography on the 6th postoperative day revealed 97.7% graft patency. During the initial hospital stay, 1 patient (2.3%) underwent a reoperation for early graft failure. Forty patients (91%) could be followed up for a mean period of 64.4\u2009\u00b1\u200924.5\u2009months after the procedure, during which 2 patients (4.5%) died of non-cardiac causes and 9 patients (20.5%) underwent postoperative coronary angiography with confirmed graft occlusion in only 1 case (2.3%). The improvement in the distribution of patients in the Canadian Cardiovascular Society class 0 was from 4 patients (9%) preoperatively to 37 patients (84%) at the end of the follow-up period (P-value 0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Minimally invasive coronary artery bypass surgery via a lower ministernotomy may be safe and efficient for treating LAD artery MB with acceptable complication rates, cosmetic benefits and patency rates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivab084","type":"journal-article","created":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T12:09:37Z","timestamp":1614859777000},"page":"203-209","source":"Crossref","is-referenced-by-count":3,"title":["Minimally invasive coronary artery bypass grafting via a lower ministernotomy for left anterior descending artery myocardial bridging: mid-term results"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8263-926X","authenticated-orcid":false,"given":"Ahmed","family":"Ghazy","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Mainz University Hospital, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9792-1313","authenticated-orcid":false,"given":"Hesham","family":"Alkady","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Abugameh","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Center for Heart and Circulatory System, Rotenburg An der Fulda, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Buschmann","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Mainz University Hospital, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rayan","family":"Chaban","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Mainz University Hospital, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalan","family":"Schnelle","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Mainz University Hospital, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Kornberger","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Mainz University Hospital, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Beiras-Fernandez","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Mainz University 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