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Updated: May 16, 2026

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Hybrid Revascularization Approach Using Robot-Assisted Bilateral Internal Mammary Artery Grafting.

Hugo Monteiro Neder Issa1,2, Luciano Matar3, Andre Shuster3

  • 1University Ottawa Heart Institute Division of Cardiac Surgery Ottawa Ontario Canada Division of Cardiac Surgery, University Ottawa Heart Institute, Ottawa, Ontario, Canada.

Brazilian Journal of Cardiovascular Surgery
|December 10, 2025
PubMed
Summary
This summary is machine-generated.

Hybrid coronary revascularization, combining minimally invasive surgery and percutaneous coronary intervention, offers a tailored approach for multivessel coronary artery disease. This case report highlights successful outcomes using robot-assisted grafting and angioplasty.

Keywords:
Bilateral Mammary ArteriesCoronary Artery BypassCoronary Artery Disease.Robotics

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Area of Science:

  • Cardiology
  • Minimally Invasive Surgery
  • Interventional Cardiology

Background:

  • Multivessel coronary artery disease requires effective revascularization strategies.
  • Traditional surgical and percutaneous methods have limitations for complex cases.

Purpose of the Study:

  • To describe a case report of hybrid coronary revascularization.
  • To illustrate the combined use of robot-assisted surgery and percutaneous coronary intervention for treating multivessel coronary artery disease.

Main Methods:

  • A 72-year-old male with multivessel coronary artery disease was treated.
  • Robot-assisted bilateral internal mammary artery grafting was performed.
  • Percutaneous coronary intervention was subsequently utilized for remaining lesions.

Main Results:

  • The hybrid approach successfully addressed complex coronary lesions.
  • The patient experienced an uneventful postoperative recovery.
  • Excellent clinical outcomes were observed at follow-up.

Conclusions:

  • Hybrid coronary revascularization is a viable and effective strategy for select patients.
  • This approach leverages the benefits of both surgical and interventional techniques.
  • Tailored treatment can lead to superior patient outcomes in coronary artery disease management.