CASE STUDY Robotic Assisted CABG

Hybrid Cardiothoracic Surgery:
Robotic-assisted CABG followed by PCI

Subject: A 67-year-old man with several medical conditions presented with symptoms of angina, including chest pain and pressure.

Diagnosis: A coronary angiogram showed significant blockages in the left anterior descending coronary artery and the circumflex coronary artery.

Treatment: Surgeons at the Oregon Heart & Vascular Institute opted to perform a hybrid procedure of surgical revascularization of the left anterior descending coronary artery, followed by percutaneous stenting of the circumflex coronary artery. The surgical team, lead by David Duke, MD, made small incisions in the left chest using the da Vinci Si Surgical System to prepare the left internal mammary artery (LIMA) for use as a bypass conduit. Through a small incision in the left chest, using off-pump surgical techniques, surgeons successfully attached the LIMA to the left anterior descending coronary artery.

Outcome: The minimally invasive procedure allowed surgeons to forgo sternotomy, resulting in less pain, shorter recovery time, less scarring and lower risk of complication for the patient. The patient did well and was discharged three days after surgery. Eight weeks later, he returned to OHVI , where Stephen Cook, MD, performed percutaneous intervention, placing drug-eluting stents into the circumflex artery. As a result of the hybrid procedure, the patient received the optimal treatment for each arterial system, utilizing a minimally invasive, collaborative approach. The patient was free of angina symptoms at his last follow-up appointment.