Robot-Assisted Totally Endoscopic Mitral Valve Plasty and Coronary Artery Bypass Grafting.

Ishikawa, Norihiko; Watanabe, Go; Horikawa, Takafumi; Seguchi, Ryuta; Kiuchi, Ryuta; Tomita, Shigeyuki; Ohtsuka, Toshiya · Ann Thorac Surg · 2023

case_series · Level IV

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Abstract

We experienced 3 cases of port-access robot-assisted totally endoscopic technique for mitral valve repair and concomitant coronary artery bypass. The right internal mammary artery was harvested, mitral valve was fixed, and the right internal mammary artery to right coronary artery anastomosis was carried out on the arrested heart. The use of cardiac arrest and a V-shaped hook technique facilitated the coronary anastomosis and the da Vinci Firefly test (Intuitive Surgical Inc., Sunnyvale, CA) could confirm patency of the graft.

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