Robotic totally endoscopic coronary artery bypass and catheter based coronary intervention in one operative session

被引:22
作者
Bonatti, J [1 ]
Schachner, T [1 ]
Bonaros, N [1 ]
Laufer, G [1 ]
Kolbitsch, C [1 ]
Margreiter, J [1 ]
Jonetzko, P [1 ]
Pachinger, O [1 ]
Friedrich, G [1 ]
Friedrich, G [1 ]
机构
[1] Univ Innsbruck, Dept Cardiac Surg, A-6020 Innsbruck, Austria
关键词
D O I
10.1016/j.athoracsur.2003.12.074
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 56-year-old male patient underwent robotically assisted totally endoscopic left internal mammary artery (LIMA) to left anterior descending artery (LAD) grafting. After protamine administration complete heart block developed in the patient. On intraoperative angiography the LIMA to LAD graft was perfectly patent but an acute occlusion of the right coronary artery (RCA) was noted. We performed an immediate on table percutaneous coronary angioplasty and stent placement to the RCA. The heart regained sinus rhythm and the wall motion abnormalities on the back wall of the heart resolved. No clinical symptoms indicating ongoing myocardial ischemia were noted postoperatively. This case demonstrates that a hybrid procedure of robotic totally endoscopic coronary artery bypass grafting and catheter based coronary intervention is feasible in one simultaneous session. (c) 2005 by The Society of Thoracic Surgeons.
引用
收藏
页码:2138 / 2141
页数:4
相关论文
共 9 条
[1]   Robotic totally endoscopic coronary artery bypass: Program development and learning curve issues [J].
Bonatti, J ;
Schachner, T ;
Bernecker, O ;
Chevtchik, O ;
Bonaros, N ;
Ott, H ;
Friedrich, G ;
Weidinger, F ;
Laufer, G .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2004, 127 (02) :504-510
[2]   Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: Report of forty-five cases [J].
Dogan, S ;
Aybek, T ;
Andressen, E ;
Byhahn, C ;
Mierdl, S ;
Westphal, K ;
Matheis, G ;
Moritz, A ;
Wimmer-Greinecker, G .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2002, 123 (06) :1125-1131
[3]   A prospective randomized trial comparing stenting with off-pump coronary surgery for high-grade stenosis in the proximal left anterior descending coronary artery: Three-year follow-up [J].
Drenth, DJ ;
Veeger, NJGM ;
Winter, JB ;
Grandjean, JG ;
Mariani, MA ;
van Boven, AJ ;
Boonstra, PW .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 40 (11) :1955-1960
[4]   Integrated myocardial revascularization [J].
Fonger, JD .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1999, 16 :S12-S17
[5]   Minimally invasive coronary bypass surgery: An example for optimal teamwork between cardiologists and cardiac surgeons? [J].
Friedrich, GJ ;
Bonatti, J ;
Pachinger, O .
CIRCULATION, 1999, 99 (22) :2967-2967
[6]   Preliminary experience with minimally invasive coronary-artery bypass surgery combined with coronary angioplasty [J].
Friedrich, GJ ;
Bonatti, J ;
Dapunt, OE .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (20) :1454-1455
[7]   Endoscopic coronary artery bypass grafting with the aid of robotic assisted instruments [J].
Loulmet, D ;
Carpentier, A ;
d'Attellis, N ;
Berrebi, A ;
Cardon, C ;
Ponzio, O ;
Aupècle, B ;
Relland, JYM .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1999, 118 (01) :4-10
[8]   Coronary hybrid revascularization from January 1997 to January 2001:: A clinical follow-up [J].
Riess, FC ;
Bader, R ;
Kremer, P ;
Kühn, C ;
Kormann, J ;
Mathey, D ;
Moshar, S ;
Tuebler, T ;
Bleese, N ;
Schofer, J .
ANNALS OF THORACIC SURGERY, 2002, 73 (06) :1849-1855
[9]   Myocardial "hybrid" revascularisation with minimally invasive direct coronary artery bypass grafting combined with coronary angioplasty:: preliminary results of a multicentre study [J].
Wittwer, T ;
Cremer, J ;
Boonstra, P ;
Grandjean, J ;
Mariani, M ;
Mügge, A ;
Drexler, H ;
den Heijer, P ;
von Leitner, ER ;
Hepp, A ;
Wehr, M ;
Haverich, A .
HEART, 2000, 83 (01) :58-63