Robotic redo totally endoscopic coronary artery bypass to the right coronary artery in a patient with prior coronary bypass surgery

Hiroto Kitahara; Kaitlin Grady; Husam Balkhy

doi:10.1510/mmcts.2023.012

Robotic redo totally endoscopic coronary artery bypass to the right coronary artery in a patient with prior coronary bypass surgery

Multimed Man Cardiothorac Surg. 2023 Apr 17:2023. doi: 10.1510/mmcts.2023.012.

Authors

Hiroto Kitahara¹, Kaitlin Grady¹, Husam Balkhy²

Affiliations

¹ Division of Cardiac Surgery, University of Chicago Medicine, Chicago, IL, USA.
² Department of Surgery, Section of Cardiac Surgery, The University of Chicago 5841S Maryland Avenue, Chicago, Illinois 60637, USA.

PMID: 37067055
DOI: 10.1510/mmcts.2023.012

Abstract

Surgical revascularization of the right coronary artery in a patient with previous coronary bypass surgery is rare and challenging. One alternative to the resternotomy approach, the subxiphoid approach with the right gastroepiploic artery, has been safely utilized to prevent injury to prior patent grafts. However, this approach might not be suitable for a patient who has adhesions that are the result of a prior abdominal operation. We describe in this case report a technique for robotic totally endoscopic right internal thoracic artery bypass to the right coronary artery in a patient with a previous coronary artery bypass operation and abdominal surgery.

Keywords: OPCAB; RIMA; Redo cardiac surgery; TECAB.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Coronary Artery Bypass / methods
Coronary Artery Disease* / surgery
Endoscopy / methods
Humans
Robotic Surgical Procedures* / methods
Treatment Outcome