Poor Left Ventricular Function Is Not a Contraindication for Robotic Totally Endoscopic Coronary Artery Bypass Grafting
DOI:
https://doi.org/10.1532/HSF98.20091048Abstract
Robotic technology has enabled performance of totally endoscopic coronary artery bypass grafting (TECABG). Published series on TECABG were primarily performed in low-risk patients, and little is known about the outcome after totally endoscopic coronary surgery in patients with severely impaired left ventricular function. We report successful endoscopic placement of a left internal mammary artery bypass graft to the left anterior descending artery using the daVinci robotic system in a patient with a severely reduced left ventricular ejection fraction.References
Argenziano M, Katz M, Bonatti J, et al. 2006. Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting; Ann Thorac Surg 81:1666-75.nDogan S, Aybek T, Andressen E 2002. Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: report of forty-five cases. J Thorac Cardiovasc Surg 123:1125-31.nKappert U, Tgtekin S, Cichon R 2008. Robotic totally endoscopic coronary artery bypass: a word of caution implicated by a five year follow-up. J Thorac Cardiovasc Surg. 135 857-62.nHolzhey D, Jacobs S, Mochalski M, et al. 2008. Minimally invasive hybrid coronary artery revascularization. Ann Thorac Surg 86:1586-60.nChristiansen J, Simonet F, Badel P, et al. 1997. The effect of perioperative intraaortic balloon support in patients with coronary artery disease, poor LV function and hypertensive LV hypertrophy. Thorac Cardiovasc Surg 54:60-4.nTopkara V, Cheema F, Kesavaramanujam S 2005. Coronary artery bypass grafting in patients with low ejection fraction. Circulation 112 (suppl I):I-344-I-350.nSrivastava S, Gadasalli S, Agusala M, et al. 2008. Robotically assisted beating heart totally endoscopic coronary artery bypass (TECAB). Is there a future? Innovations 3:52-8.nSchachner T, Bonaros N, Ruetzler E 2007. Myocardial enzyme release in totally endoscopic coronary artery bypass grafting on the arrested heart. J Thorac Cardiovasc Surg 134:1006-11.n
