Premium
Robotic totally endoscopic coronary artery bypass grafting for spontaneous coronary artery dissection
Author(s) -
Wehman Brody,
Lehr Eric Joseph,
Mukherjee Ratnakar,
Grigore Alina,
Griffith Bartley,
Bonatti Johannes
Publication year - 2012
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.437
Subject(s) - medicine , artery , artery dissection , bypass grafting , dissection (medical) , cardiopulmonary bypass , cardiology , revascularization , surgery , coronary angiography , myocardial infarction
Abstract 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. Copyright © 2012 John Wiley & Sons, Ltd.