A case for minimally invasive coronary surgery as primary treatment for left anterior descending coronary artery disease

Objective: The introduction of minimally invasive coronary bypass surgery has allowed the application of multiple approaches to coronary artery disease. Methods: Technologic developments have resolved patency and myocardial ischemic issues and increased surgical experience and training have combined to make more coronary bypass surgeons facile in minimally invasive surgical techniques. Results: These advances, along with the decreased invasiveness, shortened recovery and lower cost, suggest the application of these techniques to the primary treatment of disease of the anterior descending artery. Conclusion: In selected circumstances such as these in which patient co-morbid risk factors would suggest high recurrence rates in complex lesions or total occlusion of the anterior descending coronary artery and present in cases of in-stent restenosis, primary application of minimally invasive bypass techniques may create long-term benefits for patients.