Robotic mammary takedown and off-pump bypass surgery for single-vessel disease of the left anterior descending coronary artery.
Robotic takedown of the left internal mammary artery and direct off-pump anastomosis to the left anterior descending artery through small thoracotomy incisions can be done safely with minimal morbidity and is associated with decreased blood loss, decreased ventilatory requirements, less intensive care unit stay, and less overall length of stay. It should be considered as an alternative to percutaneous angioplasty and stenting for those with isolated left anterior descending artery disease.
Mihaljevic
Tomislav
T
Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02215, USA. tmihaljevic@partners.org
Paul
Subroto
S
Byrne
John G
JG
Leacche
Marzia
M
Farivar
Robert S
RS
Soltesz
Edward G
EG
Rawn
James D
JD
Cohn
Lawrence H
LH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012371:Robotics / Q000379:methods*; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods*; D013907:Thoracostomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome