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| 篇名 |
Robot Assisted Left Internal Thoracic Artery Harvesting in Minimally Invasive Direct Coronary Artery Bypass:Report of a Case |
| 作者 |
Chih-Hsien Lee, Guo-jieng Hong, Yi-Ting Tsai, Chih-Yuan, Lin,Chung-Yi Lee, Hou-Sheng Yang, Chien-Sung Tsai |
| 卷期/出版年月 |
39卷4期 (2006/8) |
| 頁次 |
205-209 |
| 摘要 |
Coronary artery bypass grafting (CABG) is usually performed through a sternotomy.
Minimally invasive direct coronary artery bypass grafting (MIDCABG) has been
used recently in a select group of patients with severe lesions of the left anterior
descending (LAD) coronary artery. CABG has been proven difficult to adapt to a
totally endoscopic approach because of the inability to perform a precision
microvascular-sutured coronary anastomosis with conventional endoscopic
instrumentation. The Da Vinci telemanipulation system has six degrees of freedom
and allows free orientation in space and a remote, tremor-free, three-dimensional
visual image. We report hereby a 76-year-old male who suffered from substernal
chest pain that radiated to the left shoulder for one day. Coronary angiography
confirmed coronary artery disease with 90% occlusion of the LAD coronary artery.
The patient volunteered to receive the operation. Robotically assisted left internal
thoracic artery (LITA) harvesting and direct off-pump anastomosis to the LAD
through small thoracotomy incisions were performed safely. The patient improved
clinically and was free of angina at the six-month follow-up. We describe an
alternative procedure for one-vessel disease using robotic takedown of the LITA and
off-pump anastomosis to the LAD artery through small incisions. This procedure is
associated with minimal blood loss and ventilatory requirements, and short stays in
the intensive care unit and hospital. |
| 關鍵詞 |
cardiac surgery, LITA, MIDCABG, robotic surgery |
| 分類 |
Case Report |
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