title: Robotic totally endoscopic triple coronary artery bypass grafting on the arrested heart: report of the first successful clinical case.
abstract: Robotic technology enables "port only" totally endoscopic coronary artery bypass grafting (TECAB). During early procedure development only single bypass grafts were feasible. Because current referral practice for coronary bypass surgery mostly includes multivessel disease, performance of multiple endoscopic bypass grafts is desirable. We report a case in which a patient received a right internal mammary artery bypass graft to the left anterior descending artery and a left internal mammary artery jump graft to 2 obtuse marginal branches. The procedure was performed through 5 ports on the arrested heart using the daVinci S robotic surgical system. This is the first reported triple bypass grafting procedure using an arrested heart approach.
authors.affiliation: University of Maryland School of Medicine, Baltimore, MD, USA. jbonatti@smail.umaryland.edu
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
authors.forename: Atiq
authors.initials: A
authors.lastname: Rehman
authors.forename: Kimberly
authors.initials: K
authors.lastname: Schwartz
authors.forename: Seema
authors.initials: S
authors.lastname: Deshpande
authors.forename: Zachary
authors.initials: Z
authors.lastname: Kon
authors.forename: Eric
authors.initials: E
authors.lastname: Lehr
authors.forename: David
authors.initials: D
authors.lastname: Zimrin
authors.forename: Bartley
authors.initials: B
authors.lastname: Griffith
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D023921:Coronary Stenosis / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D006323:Heart Arrest / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome