Redo Robotic Endoscopic Beating Heart Coronary Bypass (TECAB) After Previous TECAB.

Nisivaco, Sarah; McCrorey, Mackenzie; Krienbring, Dorothy; Patel, Brooke; Srivastava, Sudhir; Balkhy, Husam H · Ann Thorac Surg · 2017

case_report · Level V

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Abstract

Redo-totally endoscopic coronary artery bypass (TECAB) after previous TECAB to our knowledge has never been reported in the literature. We present a case report of a 65-year-old gentleman who underwent a second beating-heart TECAB with the right internal mammary artery (IMA) to the obtuse marginal branch, following previous TECAB (left IMA-diagonal/left anterior descending). An extensive experience in robotic coronary operation and anastomotic devices contributed to the successful outcome in this patient. We conclude that prior TECAB is not a contraindication to redo-TECAB as long as an IMA conduit is available and left lung adhesions are not prohibitive.

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