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Published on: June 24, 2022
Robotic hybrid procedure and triple-vessel disease
Jean-Luc Jansens1, Philippe De Croly, Didier De Cannière
1Department of Cardiac Surgery, Erasme University Hospital, 808 Route de Lennik, Brussels, Belgium. jjansens@ulb.ac.be
Abstract:
A 56-year old man presented with increasing angina pectoris. Coronary angiogram showed a triple-vessel disease, with significant lesions on the main stem, on an obtuse marginal branch of the circumflex coronary artery (Cx), on the right coronary artery (RCA), and a proximal occlusion of the left anterior descending artery (LAD). A hybrid procedure was decided, with a beating heart totally endoscopic double vessel coronary artery bypass grafting (Double BHTECAB) on the LAD and the Cx, with the use of a four-arm robotic device, and a stent placement into the RCA in a second step. Both procedures went uneventfully, and the patient is fully asymptomatic 15 months after the procedure.