Robotic coronary artery bypass for aberrant right coronary artery stenosis

作者：Chen Kuan chin Jean; Teefy Patrick; Kiaii Bob; Vezina William C; Chu Michael W A^*

来源：Canadian Journal of Cardiology, 2010, 26(8): E326-E327.

• Coronary artery bypass grafts
• Coronary artery imaging
• Coronary artery pathology
• Minimally invasive surgery
• Robotics

Anomalous coronary arteries that course between the aorta and pulmonary artery are subject to compressive forces and can manifest angina, myocardial infarction and sudden death. The current report presents a young, female patient who presented with a short duration of severe, rapidly progressive angina despite optimal medical therapy. Combined computed tomography and myocardial perfusion scanning identified an anomalous dominant right coronary artery that appeared kinked at its origin between the aorta and main pulmonary artery. A robot-assisted right internal thoracic artery to right coronary artery bypass was performed, which was confirmed to be widely patent (FitzGibbon grade A) on routine intraoperative angiography. The procedure completely resolved the patient's angina symptoms.

• 出版日期2010-10