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A new exposure technique for the circumflex coronary artery system in robotic totally endoscopic coronary artery bypass grafting

Department of Cardiac Surgery, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria

*Corresponding author. Tel.: +43 512 504 80631.

E-mail address: johannes.o.bonatti{at}uibk.ac.at (J. Bonatti).

We report a case of a 53-year-old female patient with isolated left main coronary artery stenosis in whom a completely endoscopic double coronary artery bypass grafting (CABG) procedure was performed. The operation was carried out on the arrested heart. A right internal mammary artery graft was sutured to the left anterior descending artery using the daVinci^TM telemanipulation system. The left internal mammary artery was connected to the first obtuse marginal branch which was exposed with the Octopus-TE^TM stabilizing device. This method may be useful for further development of multivessel totally endoscopic CABG procedures.

Key Words: Coronary artery bypass grafting; Endoscopic surgery; Robotic surgery; Left main coronary artery stenosis

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