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. 2023 Mar-Apr;18(2):193-195.
doi: 10.1177/15569845231157745. Epub 2023 Mar 5.

Urgent Combination of Robotic and MIDCAB Coronary Revascularization in a Morbidly Obese Patient

Gianluca Torregrossa  1   2 , Serge Sicouri  1   2 , Leila Hosseinian  1 , Francis Sutter  1 , Gianluca Folesani  3 , Basel Ramlawi  1   2 , Aleksander Dokollari  1   2
Affiliations

Urgent Combination of Robotic and MIDCAB Coronary Revascularization in a Morbidly Obese Patient

Gianluca Torregrossa et al. Innovations (Phila). 2023 Mar-Apr.

Abstract

In this article, we focus on the important role of robot-assisted coronary surgery by reporting the successful case of a morbidly obese male (body mass index = 58 kg/m2) who presented to our center with severe coronary disease. A 54-year-old morbidly obese male presented with acute chest pain and was diagnosed with coronary artery disease. The culprit lesion was the left anterior descending (LAD) coronary artery. A percutaneous coronary intervention angiography attempted in a university hospital was not successful. Our heart team chose a hybrid robot-assisted revascularization (HCR) strategy based on the patient's body size. The patient underwent left internal thoracic mammary artery to LAD bypass with uneventful postoperative recovery. Robotic HCR is a valuable strategy in morbidly obese patients undergoing coronary artery bypass grafting.

Keywords: hybrid robot-assisted CABG; myocardial infarction; obesity; urgent CABG.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Visual abstract
Visual abstract
Fig. 1.
Fig. 1.
Investigation outcomes. (a) Electrocardiogram, (b) right coronary system, (c) left coronary system, and (d) computed tomography scan of the chest.
See this image and copyright information in PMC

References

    1. Torregrossa G, Sá MP, Van den Eynde J, et al.. Robotic-assisted versus conventional off-pump coronary surgery in women: a propensity-matched study. J Card Surg 2022; 37: 3525–3535. - PubMed
    1. Torregrossa G, Sá MP, Van den Eynde J, et al.. Hybrid robotic off-pump versus conventional on-pump and off-pump coronary artery bypass graft surgery in women. J Card Surg 2022; 37: 895–905. - PubMed
    1. Kitahara H, Patel B, McCrorey M, et al.. Morbid obesity does not increase morbidity or mortality in robotic cardiac surgery. Innovations 2017; 12: 434–439. - PubMed
    1. Hemli JM, Darla LS, Panetta CR, et al.. Does body mass index affect outcomes in robotic-assisted coronary artery bypass procedures? Innovations 2012; 7: 350–353. - PubMed

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