Abstrakt Kardiochirurgie Březen 2009

“Robotically enhanced coronary artery bypass grafting: the feasibility and clinical outcome of 196 procedures.”

Caynak, B., E. Sagbas, et al. (2009).

Int J Med Robot.


BACKGROUND: The aim of this study was to assess the feasibility of robotically enhanced myocardial revascularization and to present the clinical outcome of 196 patients. METHODS: All internal thoracic arteries were harvested with the aid of a robotic surgical system. While off-pump revascularization techniques were mostly used, peripheral cardiopulmonary bypass was needed in some cases with multivessel disease. RESULTS: A single (n = 118) or multivessel (n = 74) coronary revascularization was performed. Four patients had to be converted to median sternotomy. There was no operative mortality. Follow-up was complete in 88% (n = 169) patients. The rate of freedom from ischaemic symptoms was 98.2% at mean 22 +/- 3 months. Graft patency was 96.4% (81/84). CONCLUSIONS: By increasing surgical capabilities, robotically enhanced CABG in single or multivessel coronary disease was safe, effective and reasonable. It can be an alternative approach to percutaneous methods and conventional surgical techniques, or even used in acute coronary events. Copyright (c) 2009 John Wiley & Sons, Ltd.




“Warm Beating Heart, Robotic Endoscopic Cox-Cryomaze: An Approach for Treating Atrial Fibrillation.”

Cheema, F. H., J. S. Weisberg, et al. (2009).

Annals of Thoracic Surgery 87(3): 966-968.

With recent technological advancements, an increasing number of minimally invasive approaches are being explored as potential alternatives to the traditional cut-and-sew Cox maze III for treating atrial fibrillation. We describe an approach for treating atrial fibrillation that consists of a warm beating heart, robotic endoscopic Cox-cryomaze with a full set of left atrial argon-based cryolesions. © 2009 The Society of Thoracic Surgeons.




“Robotic mammary artery harvest and anastomotic device allows minimally invasive mitral valve repair and coronary bypass.”

Guy, T. S., M. Brzezinski, et al. (2009).

Journal of Cardiac Surgery 24(2): 170-172.

We report the case of a 60-year-old man requiring combined mitral valve repair and coronary artery bypass grafting. A unique minimally invasive approach was used combining robotic internal mammary artery harvesting, partial lower sternotomy, and single vessel coronary artery bypass grafting using an automated distal coronary artery anastomotic device. Issues in approaching the commonly encountered patient with mitral valve disease and coronary artery disease using minimally invasive techniques are discussed. (J Card Surg 2009;24:170-172) © 2009 Wiley Periodicals, Inc.