title: Totally endoscopic quadruple coronary artery bypass grafting is feasible using robotic technology.
abstract: Multivessel robotic totally endoscopic coronary artery bypass grafting is currently under development. Quadruple totally endoscopic coronary artery bypass has so far not been reported. A 75-year-old patient with multivessel coronary artery disease underwent daVinci Si-assisted completely endoscopic placement of a left internal mammary artery bypass to the left anterior descending artery and construction of a right internal mammary artery Y-graft off the left internal mammary artery to the posterior descending artery. The left internal mammary artery was also connected to a diagonal branch as a sequential graft. The obtuse marginal branch was revascularized using an endoscopically harvested vein graft originating from the left axillary artery.
authors.affiliation: Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. jbonatti@smail.umaryland.edu
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
authors.forename: Brody
authors.initials: B
authors.lastname: Wehman
authors.forename: Andreas R
authors.initials: AR
authors.lastname: de Biasi
authors.forename: Jean
authors.initials: J
authors.lastname: Jeudy
authors.forename: Bartley
authors.initials: B
authors.lastname: Griffith
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Lehr
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology; D001366:Axillary Artery / Q000601:surgery / Q000637:transplantation; D001026:Coronary Artery Bypass / Q000379:methods; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004724:Endoscopy / Q000295:instrumentation* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012371:Robotics / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome