Minimally invasive direct coronary artery bypass surgery under high thoracic epidural

IMPLICATIONS

This report describes the use of high-thoracic epidural anesthesia for a patient undergoing minimally invasive direct coronary artery bypass.

Minimally invasive coronary bypass without general endotracheal anesthesia

This report describes the case of a 51-year-old man with myocardial ischemia resulting from in-stent restenosis of the left anterior descending coronary artery who underwent a minimally invasive direct coronary artery bypass using thoracic epidural analgesia while awake, without general endotracheal anesthesia.