This case report demonstrates robotic and laparoscopic harvesting methods in coronary artery bypass grafting, suggesting new avenues for minimally invasive surgical techniques.
Background Minimally invasive techniques to harvest arterial grafts to align with less invasive procedural demands. With the emergence of various harvesting methods, ensuring the safety and efficacy of these minimally invasive approaches is critical. This study describes minimally invasive direct coronary artery bypass surgery (MIDCABG) involving robotic left internal thoracic artery (LIMA) harvesting and laparoscopic-assisted right gastroepiploic artery (GEA) harvesting. Case summary A 55-year-old male patient underwent minimally invasive coronary artery bypass grafting with robotic-assisted left internal mammary artery harvesting and laparoscopic-assisted right gastroepiploic artery harvesting. The workflow of the procedure and our experience are described in this case report. Discussion This case highlights the importance of multimodality imaging for minimally invasive planning in coronary artery bypass grafting. Robotic internal mammary artery and laparoscopic right gastroepiploic artery harvesting are safe and can be performed for selected patients.
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Ma et al. (2025) studied this question.
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