Abstract
Robotic coronary revascularization remains difficult for many surgeons. However, most cardiac surgeons can master easily internal thoracic artery dissections (i.e., harvests). To date, most anastomoses have been done in beating heart operations using manual sewing techniques through an anterior mini-thoracotomy. Simplified distal anastomotic techniques still remain the “Achilles heel” in these grafting procedures. New automatic distal anastomotic devices have been developed to simplify totally endoscopic coronary artery bypass (TECAB) operations. Herein, we describe a mechanical device that has enabled facile distal coronary anastomoses to internal thoracic arteries and vein grafts. Several recent patient series have demonstrated efficacy in using this Cardica™ flexible system in performing distal anastomoses with good results, making totally endoscopic beating heart revascularization a more feasible operation.
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© 2014 Springer-Verlag London
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Balkhy, H.H., Gummert, J.F. (2014). Beating Heart: Totally Endoscopic Coronary Artery Bypass Surgery; Robotic Endoscopic Multi-vessel Anastomotic Connectors. In: Chitwood, Jr., W. (eds) Atlas of Robotic Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6332-9_9
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DOI: https://doi.org/10.1007/978-1-4471-6332-9_9
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