15 year experience of endoscopic atraumatic coronary artery bypass graft (EndoACAB): a single centre experience of a tertiary referral centre

EndoACAB is a relatively new procedure and remains uncommon, practiced only in specialist hospitals. This is mostly due to requirement of specialised instruments and lengthy learning curve. In this procedure, the left internal mammary artery (LIMA) is harvested endoscopically and anastomosed to the left anterior descending (LAD) artery off pump through a small left micro-thoracotomy incision. There is a wide variation of the way this procedure is performed.