This case report demonstrates the initial clinical feasibility of performing a totally endoscopic triple coronary artery bypass grafting on an arrested heart using robotic technology.
Robotic totally endoscopic triple CABG appears feasible on arrested heart; leaves open reproducibility, safety, and comparative outcomes in larger series.
Robotic technology enables "port only" totally endoscopic coronary artery bypass grafting (TECAB). During early procedure development only single bypass grafts were feasible. Because current referral practice for coronary bypass surgery mostly includes multivessel disease, performance of multiple endoscopic bypass grafts is desirable. We report a case in which a patient received a right internal mammary artery bypass graft to the left anterior descending artery and a left internal mammary artery jump graft to 2 obtuse marginal branches. The procedure was performed through 5 ports on the arrested heart using the daVinci S robotic surgical system. This is the first reported triple bypass grafting procedure using an arrested heart approach.
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Bonatti et al. (2010) studied this question.
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