First report of a hybrid robotic beating-heart quadruple totally endoscopic coronary artery bypass: toward complete revascularization

Hiroto Kitahara; Taishi Hirai; Sandeep Nathan; Husam H Balkhy

doi:10.1093/ejcts/ezz076

First report of a hybrid robotic beating-heart quadruple totally endoscopic coronary artery bypass: toward complete revascularization

Eur J Cardiothorac Surg. 2019 Nov 1;56(5):1011-1013. doi: 10.1093/ejcts/ezz076.

Authors

Hiroto Kitahara¹, Taishi Hirai², Sandeep Nathan², Husam H Balkhy¹

Affiliations

¹ Department of Surgery, Section of Cardiac and Thoracic Surgery, University of Chicago, Chicago, IL, USA.
² Department of Medicine, Division of Cardiology, University of Chicago, Chicago, IL, USA.

PMID: 30879074
DOI: 10.1093/ejcts/ezz076

Abstract

To the best of our knowledge, this is the first report describing robotic beating-heart quadruple all-arterial totally endoscopic coronary artery bypass combined with percutaneous coronary intervention attempting complete revascularization (residual SYNTAX score 0). A 66-year-old male with severe triple-vessel coronary artery disease underwent percutaneous coronary intervention for a sub-total occlusion of the right coronary artery as the initial component of a hybrid revascularization strategy. Subsequently, the left coronary system was revascularized via robotic beating-heart totally endoscopic coronary artery bypass with bilateral internal mammary artery grafts.

Keywords: Hybrid therapy; Totally endoscopic coronary artery bypass.

Publication types

Case Reports

MeSH terms

Aged
Coronary Artery Bypass, Off-Pump / methods*
Endoscopy
Humans
Male
Mammary Arteries / transplantation*
Myocardial Infarction
Percutaneous Coronary Intervention / methods*
Robotic Surgical Procedures / methods*