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Robotic Hybrid Procedure and Triple‐Vessel Disease
Author(s) -
Jansens JeanLuc,
De Croly Philippe,
De Cannière Didier
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00738.x
Subject(s) - medicine , circumflex , right coronary artery , bypass grafting , asymptomatic , artery , angina , coronary artery disease , cardiology , occlusion , surgery , radiology , coronary angiography , myocardial infarction
A 56‐year old man presented with increasing angina pectoris. Coronary angiogram showed a triple‐vessel disease, with significant lesions on the main stem, on an obtuse marginal branch of the circumflex coronary artery (Cx), on the right coronary artery (RCA), and a proximal occlusion of the left anterior descending artery (LAD). A hybrid procedure was decided, with a beating heart totally endoscopic double vessel coronary artery bypass grafting (Double BHTECAB) on the LAD and the Cx, with the use of a four‐arm robotic device, and a stent placement into the RCA in a second step. Both procedures went uneventfully, and the patient is fully asymptomatic 15 months after the procedure.