Citation: Alat I and Celik E. Off-Pump Coronary Artery Bypass Grafting Surgery through Manubrium Sparing Mini-Sternotomy. Austin J Clin Trials Open Access. 2018; 1(1): 1001. Austin J Clin Trials Open Access - Volume 1 Issue 1 - 2018 Submit your Manuscript | www.austinpublishinggroup.com Alat et al. © All rights are reserved Austin Journal of Clinical Trials: Open Access Open Access Abstract The importance of off-pump Coronary Artery Bypass Grafting (CABG) surgery through manubrium sparing mini-sternotomy was presented in this article under the light of previous literature and our own technique was mentioned on the basis of an operated case. Off pump CABG surgery with manubrium sparing mini-sternotomy is a plausible choice of surgical treatment for the suitable patients and leads to fast recovery in the postoperative period due to lesser surgical trauma. All of these outcomes will result in the lower cost of hospitalization and higher patient’s satisfaction. Keywords: Coronary; Sternal; Bypass; Cardiac surgery; Incision; Quality of life Among these applications, we hereby want to especially present our surgical method on the basis of one of our patients by comparing it to the report [6] of Su and coworkers. According to the report of Su and coworkers, they developed a new surgical method, which is an of-pump coronary artery bypass approach with lower distal mini- sternotomy (TM-OPCAB) for multivessel coronary revascularization. Tey compared two diferent groups to each other. Te frst group underwent TM-OPCAB and the second group underwent Standard Of-Pump Coronary Artery Bypass Surgery (S-OPCAB). Afer completing their research, they found signifcantly shorter periods on ventilation, shorter postoperative in-hospital stays and lower blood transfusion rates in the group of TM-OPCAB. In order to measure graf patency rates, they measure transit-time fow measurement and they observed that there was no signifcant diference in postoperative graf patency between both groups. Tey also analyzed that overall survival, the percentage of patients freed from major adverse cardiac, and cerebrovascular events were similar between both groups. When compared to the results of S-OPCAB patients, these successful results including postoperative clinical superiorities of the TM-OPCAB patients resemble the results of previous articles in the literature about mini-sternotomy or other minimal invasive coronary bypass surgeries. Tese successful results are due to two diferent subjects: Of- pump surgery instead of open-heart surgery and secondly, the length of the skin incision like an indicator for invasion. In their method for the patients in the TM-OPCAB group, an approximately 14cm midline skin incision was made. Te mean length of the skin incision in the patients in the TM-OPCAB group was 15.0cm and 22.6cm in the S-OPCAB group. Precisely at this point, we herein want to present one of our patients who underwent of-pump coronary artery bypass surgery through a mini-sternotomy incision, and want to mention about the diference of our surgical technique. A 67-year-old male patient underwent of-pump coronary artery bypass grafing surgery through mini-sternotomy incision for single- Introduction Coronary artery bypass surgery which has been changing and progressing very rapidly since 1960s, has come to a point that could not be foreseen at the onset of its history. While in those days, the questions which techniques and which grafs need to be used couldn’t be duly answered [1] and much earlier, in 1910, while Alexis Carrel reported a negative report that would discourage other surgeons to perform this surgery [2], whereas today’s surgeons are now pursuing the questions of what the smallest incision is, how much little invasive it is, and how much cheap and successful the coronary bypass surgery can be done. For example, robotically assisted minimally invasive coronary bypass surgeries are no longer a freak for anyone [3]. On the other hand, when considering the increasing population rate and increasing number of patients today, it is also important that any surgical method has to be as cost efective as less invasive. From this point of view, it is a bit of imagination to hope that the robotic surgeries will become widespread all around the world. Te biggest obstacle in this regard is the equipment, requiring high cost and therefore only a limited number of surgeons can have sufcient experience in this area. For all these reasons, the main objective should be to develop and disseminate surgical methods that are less invasive than open heart surgery but less expensive than robotic surgery. In this article, we aimed to present our technique in which it’s possible to do smaller skin incision with the sparing of manubrium. The Short Communication on the Basis of a Patient When the literature is reviewed, it is possible to see diferent alternative surgical methods including mini-sternotomy in the surgical treatment of diferent cardiac diseases in order to achieve this aim. Alternative incisions for aortic or mitral valve diseases, proximal aortic aneurysms or dissections, coronary artery diseases, some congenital heart diseases or some mandatory applications due to special conditions like tracheal stoma can be seen [4-10]. Short Communication Off-Pump Coronary Artery Bypass Grafting Surgery through Manubrium Sparing Mini-Sternotomy Alat I* and Celik E Department of Cardiovascular Surgery, Afyonkarahisar State Hospital, Turkey *Corresponding author: Alat I, Afyonkarahisar Devlet Hastanesi, Nedim Helvacıoğlu Bulvarı, Kalp ve Damar Cerrahisi Servisi, Afyonkarahisar, Turkey Received: August 07, 2018; Accepted: September 20, 2018; Published: September 27, 2018