First Italian robot-enhanced coronary bypass.
This case report presents the first totally endoscopic coronary artery bypass performed with a robotic system in Italy at the Department of Cardiovascular Surgery of Padua University in December 2001. A 66-year-old male, with an indication to a single bypass of the left anterior descending coronary artery using the left mammary artery, was considered eligible for a robot-assisted myocardial revascularization using the da Vinci robotic system. The left internal mammary artery takedown was performed through three 1 cm ports on the thoracic wall. The "end-to-side" anastomosis between the mammary artery and the target coronary artery was totally performed endoscopically on a beating heart by means of a stabilizing device introduced through an additional subxiphoid port. Angiographic follow-up at 1 year showed patency of the graft. Since September 2001, robot-enhanced left mammary artery harvesting has been performed in another 18 patients without complications.
Gerosa
Gino
G
Department of Cardiovascular Surgery, University of Padua, Padua, Italy. gino.gerosa@unipd.it
di Marco
Francesca
F
Bianco
Roberto
R
Vendramin
Igor
I
Casarotto
Dino
D
D000368:Aged; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D007558:Italy; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery*; D012371:Robotics