Key result
Robotically assisted single left internal mammary artery grafting to the left coronary artery system was carried out successfully in a completely endoscopic fashion.
Case Report (n=1)
Robotic totally endoscopic coronary artery bypass grafting may be a feasible surgical revascularization option for selected patients with spontaneous coronary artery dissection.
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Supports feasibility of robotic TECAB in selected SCAD cases; hypothesis-generating, requiring prospective validation before wider use.
BACKGROUND: Patients with spontaneous coronary artery dissection may require surgical revascularization. Reports on the surgical management of this pathology are primarily limited to classic coronary artery bypass grafting via sternotomy on cardiopulmonary bypass, although a limited number of reports of alternatives also exist. METHODS: We describe a case of robotic completely endoscopic coronary surgery using the daVinci® Si™ system in a patient with spontaneous coronary artery dissection. RESULTS: Robotically assisted single left internal mammary artery grafting to the left coronary artery system was carried out successfully in a completely endoscopic fashion. CONCLUSIONS: Selected patients with spontaneous coronary artery dissection may benefit from a totally endoscopic approach to surgical coronary revascularization.
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Wehman et al. (2012) conducted a case report in Spontaneous coronary artery dissection (n=1). Robotic completely endoscopic coronary surgery using the daVinci Si system was evaluated. Robotically assisted single left internal mammary artery grafting to the left coronary artery system was carried out successfully in a completely endoscopic fashion.
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