Department of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Int J Med Robot. 2012 Jun;8(2):166-8. doi: 10.1002/rcs.437. Epub 2012 Mar 7.
Patients with spontaneous coronary artery dissection may require surgical revascularization. Reports on the surgical management of this pathology are primarily limited to classic coronary artery bypass grafting via sternotomy on cardiopulmonary bypass, although a limited number of reports of alternatives also exist.
We describe a case of robotic completely endoscopic coronary surgery using the daVinci® Si™ system in a patient with spontaneous coronary artery dissection.
Robotically assisted single left internal mammary artery grafting to the left coronary artery system was carried out successfully in a completely endoscopic fashion.
Selected patients with spontaneous coronary artery dissection may benefit from a totally endoscopic approach to surgical coronary revascularization.
自发性冠状动脉夹层患者可能需要进行手术血运重建。关于该病理的手术治疗的报告主要限于经体外循环行胸骨切开术的经典冠状动脉旁路移植术，尽管也有一些关于替代方法的有限报告。
我们描述了一例使用达芬奇 Si 系统进行机器人全内镜冠状动脉手术的病例，患者为自发性冠状动脉夹层。
成功地以全内镜方式进行了机器人辅助的单支左内乳动脉向左旋支系统的移植。
某些自发性冠状动脉夹层患者可能受益于全内镜手术冠状动脉血运重建。
