Totally endoscopic quadruple coronary artery bypass grafting is feasible using robotic technology

Ann Thorac Surg. 2012 May;93(5):e111-2. doi: 10.1016/j.athoracsur.2011.11.049.

Abstract

Multivessel robotic totally endoscopic coronary artery bypass grafting is currently under development. Quadruple totally endoscopic coronary artery bypass has so far not been reported. A 75-year-old patient with multivessel coronary artery disease underwent daVinci Si-assisted completely endoscopic placement of a left internal mammary artery bypass to the left anterior descending artery and construction of a right internal mammary artery Y-graft off the left internal mammary artery to the posterior descending artery. The left internal mammary artery was also connected to a diagonal branch as a sequential graft. The obtuse marginal branch was revascularized using an endoscopically harvested vein graft originating from the left axillary artery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anastomosis, Surgical
  • Angina Pectoris / diagnosis
  • Angina Pectoris / etiology
  • Axillary Artery / surgery
  • Axillary Artery / transplantation
  • Coronary Artery Bypass / methods
  • Coronary Stenosis / complications
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / surgery*
  • Endoscopy / instrumentation*
  • Endoscopy / methods
  • Follow-Up Studies
  • Humans
  • Imaging, Three-Dimensional*
  • Internal Mammary-Coronary Artery Anastomosis / methods*
  • Male
  • Minimally Invasive Surgical Procedures / methods
  • Robotics / methods*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome