Minimally Invasive Revision for Bleeding Following Totally Endoscopic Coronary Surgery
AbstractWe report 2 cases of minimal invasive revision for postoperative bleeding following totally endoscopic coronary surgery (TECAB). In the first case the revision was performed totally endoscopically without additional incisions. In the second patient revision was performed via enlargement of the camera port to a minithoracotomy. Both revisions were successfully conducted without sternotomy. We demonstrated that the technique of minimal invasive revision can further reduce the rate of conversion to sternotomy in TECAB operations.
Argenziano M, Katz M, Bonatti J, et al. 2006. TECAB Trial Investigators Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting. Ann Thorac Surg 81:1666-74.nBonatti J, Schachner T, Bonaros N, et al. 2008. How to improve performance of robotic totally endoscopic coronary artery bypass grafting. Am J Surg 195:711-6.nBonatti J, Schachner T, Bonaros N, Laufer G 2006. A new exposure technique for the circumflex coronary artery system in robotic totally endoscopic coronary artery bypass grafting. Interact Cardiovasc Thorac Surg 5:279-81.nLoulmet D, Carpentier A, d'Attellis N, et al. 1999. Endoscopic coronary artery bypass grafting with the aid of robotic assisted instruments. J Thorac Cardiovasc Surg 118:4-10.nSchachner T, Feuchtner GM, Bonatti J, et al. 2007. Evaluation of robotic coronary surgery with intraoperative graft angiography and postoperative multislice computed tomography. Ann Thorac Surg 83:1361-7.nSchachner T, Bonaros N, Feuchtner G, Müller L, Laufer G, Bonatti J 2005. How to handle remote access perfusion for endoscopic cardiac surgery. Heart Surg Forum 8:E232-5.n