Combined totally endoscopic robotic coronary bypass and mitral valve repair via right-sided ports. Innovations (Phila) 2013;8(4):310-5
Date
10/23/2013Pubmed ID
24145978DOI
10.1097/IMI.0000000000000006Scopus ID
2-s2.0-84887038071 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
We present a case of combined coronary artery bypass grafting and mitral valve (MV) repair using a robotic totally endoscopic right-sided approach. A 61-year-old man presented with fatigue due to significant mitral regurgitation and was found to have a tight stenosis in the mid left anterior descending artery. Using the da Vinci robotic system, the patient underwent a left internal mammary artery graft to the left anterior descending artery using the C-Port Flex A distal anastomotic device followed by a MV repair. Both procedures were performed endoscopically via right chest ports and right femorofemoral bypass successfully. The patient was discharged from the hospital 3 days postoperatively and returned to normal activity within 3 weeks after surgery. This case study shows the feasibility of using an endoscopic robotic approach in selected patients undergoing combined MV coronary artery bypass grafting surgery.
Author List
Maciolek KA, Krienbring DJ, Naum ES, Arnsdorf SE, Balkhy HHMESH terms used to index this publication - Major topics in bold
Combined Modality TherapyCoronary Artery Bypass
Coronary Stenosis
Echocardiography, Transesophageal
Endoscopy
Follow-Up Studies
Heart Valve Prosthesis Implantation
Humans
Male
Mammary Arteries
Middle Aged
Minimally Invasive Surgical Procedures
Mitral Valve Insufficiency
Preoperative Care
Radiography
Risk Assessment
Robotics
Treatment Outcome
