• Int J Med Robot · Jun 2012

    Case Reports

    Robotic totally endoscopic coronary artery bypass grafting for spontaneous coronary artery dissection.

    • Brody Wehman, Eric Joseph Lehr, Ratnakar Mukherjee, Alina Grigore, Bartley Griffith, and Johannes Bonatti.
    • Department of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA. wehmanpb@gmail.com
    • Int J Med Robot. 2012 Jun 1;8(2):166-8.

    BackgroundPatients 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.MethodsWe describe a case of robotic completely endoscopic coronary surgery using the daVinci® Si™ system in a patient with spontaneous coronary artery dissection.ResultsRobotically assisted single left internal mammary artery grafting to the left coronary artery system was carried out successfully in a completely endoscopic fashion.ConclusionsSelected patients with spontaneous coronary artery dissection may benefit from a totally endoscopic approach to surgical coronary revascularization.Copyright © 2012 John Wiley & Sons, Ltd.

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