title: Robotic totally endoscopic coronary artery bypass and catheter based coronary intervention in one operative session.
abstract: A 56-year-old male patient underwent robotically assisted totally endoscopic left internal mammary artery (LIMA) to left anterior descending artery (LAD) grafting. After protamine administration complete heart block developed in the patient. On intraoperative angiography the LIMA to LAD graft was perfectly patent but an acute occlusion of the right coronary artery (RCA) was noted. We performed an immediate on table percutaneous coronary angioplasty and stent placement to the RCA. The heart regained sinus rhythm and the wall motion abnormalities on the back wall of the heart resolved. No clinical symptoms indicating ongoing myocardial ischemia were noted postoperatively. This case demonstrates that a hybrid procedure of robotic totally endoscopic coronary artery bypass grafting and catheter based coronary intervention is feasible in one simultaneous session.
authors.affiliation: Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria. johannes.o.bonatti@uibk.ac.at
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
authors.forename: Thomas
authors.initials: T
authors.lastname: Schachner
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Bonaros
authors.forename: Günther
authors.initials: G
authors.lastname: Laufer
authors.forename: Christian
authors.initials: C
authors.lastname: Kolbitsch
authors.forename: Josef
authors.initials: J
authors.lastname: Margreiter
authors.forename: Patrycja
authors.initials: P
authors.lastname: Jonetzko
authors.forename: Otmar
authors.initials: O
authors.lastname: Pachinger
authors.forename: Guy
authors.initials: G
authors.lastname: Friedrich
mesh_terms: D017130:Angioplasty; D006328:Cardiac Catheterization / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation; D008875:Middle Aged; D012371:Robotics; D015607:Stents