完全胸腔镜下机器人辅助四支冠状动脉旁路移植术是可行的。

Totally endoscopic quadruple coronary artery bypass grafting is feasible using robotic technology.

机构信息

Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.

出版信息

Ann Thorac Surg. 2012 May;93(5):e111-2. doi: 10.1016/j.athoracsur.2011.11.049.

DOI:10.1016/j.athoracsur.2011.11.049

Abstract

Multivessel robotic totally endoscopic coronary artery bypass grafting is currently under development. Quadruple totally endoscopic coronary artery bypass has so far not been reported. A 75-year-old patient with multivessel coronary artery disease underwent daVinci Si-assisted completely endoscopic placement of a left internal mammary artery bypass to the left anterior descending artery and construction of a right internal mammary artery Y-graft off the left internal mammary artery to the posterior descending artery. The left internal mammary artery was also connected to a diagonal branch as a sequential graft. The obtuse marginal branch was revascularized using an endoscopically harvested vein graft originating from the left axillary artery.

摘要

多血管机器人全内镜冠状动脉旁路移植术目前正在开发中。迄今为止，尚未有四重全内镜冠状动脉旁路移植术的报道。一名 75 岁的多血管冠状动脉疾病患者接受了达芬奇 Si 辅助的完全内镜下左内乳动脉旁路移植术，将左前降支与右内乳动脉 Y 型桥接，将左内乳动脉从左内乳动脉下连接到后降支。左内乳动脉还与对角支连接作为序贯移植物。通过从左腋动脉采集的内镜下血管移植物对钝缘支进行血运重建。