Yoshiko Shintani

Publications (2)4.4 Total impact

• Article: Robotically assisted multivessel minimally invasive direct coronary artery bypass grafting with the use of bilateral internal thoracic arteries.

  Satoru Nishida, Tamotsu Yasuda, Go Watanabe, Yujiro Kikuchi, Yoshiko Shintani, Shigeki Ito, Shigeki Tabata, Kenji Kawachi
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  ABSTRACT: This case report presents the robotically assisted multivessel minimally invasive direct coronary artery bypass grafting (MIDCAB) technique using the bilateral internal thoracic arteries. A 54-year-old man with multivessel coronary artery disease was considered eligible for a robotically assisted myocardial revascularization. The bilateral internal thoracic arteries were harvested completely in a totally skeletonized fashion through three 1-2-cm-long incisions on the left thoracic wall. A small left anterior thoracotomy was then performed. The left internal thoracic artery was anastomosed to the left anterior descending coronary artery, and the composite radial artery graft from the right internal thoracic artery was sequentially anastomosed to the first diagonal branch, the obtuse marginal branch, and the distal right coronary artery on the beating heart without cardiopulmonary bypass. The harvesting time of the grafts was 66 min, and the total operative time was 5 h 58 min. Postoperative angiography revealed that all grafts were widely patent. The postoperative course was uneventful, and the patient was discharged 10 days after the operation. Robotically assisted MIDCAB using the bilateral thoracic arteries is a safe and effective means of myocardial revascularization for patients with multivesssel disease.
  Circulation Journal 10/2007; 71(9):1496-8. · 3.77 Impact Factor
• Article: How I do it: traction of ascending aorta with starfish heart positioner during proximal saphenous vein graft anastomosis using the PAS-Port system in off-pump coronary artery bypass grafting.

  Satoru Nishida, Yujiro Kikuchi, Go Watanabe, Yoshiko Shintani, Shigeki Ito, Shigeki Tabata, Kenji Kawachi
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  ABSTRACT: The PAS-Port system allows for the rapid deployment of a clampless proximal anastomosis between a saphenous vein graft and the aorta. We have developed a simple technique of establishing traction of the ascending aorta with the Starfish heart positioner during proximal saphenous vein anastomosis using the PAS-Port system in off-pump coronary artery bypass grafting.
  Heart Surgery Forum 02/2007; 10(4):E315-6. · 0.63 Impact Factor