title: Robotic totally endoscopic coronary artery bypass grafting for spontaneous coronary artery dissection.
abstract: BACKGROUND
  Patients with spontaneous coronary artery dissection may require surgical revascularization. Reports on the surgical management of this pathology are primarily limited to classic coronary artery bypass grafting via sternotomy on cardiopulmonary bypass, although a limited number of reports of alternatives also exist.
  
  
  METHODS
  We describe a case of robotic completely endoscopic coronary surgery using the daVinci® Si™ system in a patient with spontaneous coronary artery dissection.
  
  
  RESULTS
  Robotically assisted single left internal mammary artery grafting to the left coronary artery system was carried out successfully in a completely endoscopic fashion.
  
  
  CONCLUSIONS
  Selected patients with spontaneous coronary artery dissection may benefit from a totally endoscopic approach to surgical coronary revascularization.
authors.affiliation: Department of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA. wehmanpb@gmail.com
authors.forename: Brody
authors.initials: B
authors.lastname: Wehman
authors.forename: Eric Joseph
authors.initials: EJ
authors.lastname: Lehr
authors.forename: Ratnakar
authors.initials: R
authors.lastname: Mukherjee
authors.forename: Alina
authors.initials: A
authors.lastname: Grigore
authors.forename: Bartley
authors.initials: B
authors.lastname: Griffith
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000295:instrumentation / Q000379:methods*; D003331:Coronary Vessels / Q000503:physiopathology*; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D004867:Equipment Design; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome