Coronary bypass surgery through minithoracotomy is a safe and easy method for CABG, which does not bring any more risk than median sternotomy to the patients. At our clinic 159 patients were operated on coronary bypass whit this technique between February 1996 and October 1998. We used VATS technique for LIMA harvestig at the first 50 patients. At the last 109 patients we harvested LIMA directly through ninithoractomy incision. The mortality rate was 0.6 % with one patient. CABG with MIDCAB procedure is more advantageous than the median sternotomy technique on the beating heart, because it is more noninvasive and cheaper. We believe that we would not see any complication during the reoperations in future, like LIMA or heart injuring or mediastinal bleeding. As seeing after this study, this new technique is a serious alternative which will take the place of the CABG on the beating heart through median sternotomy technique and it will be more perfect after the improvement of this technique.

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