Robotic Mitral Valve Repair and Simultaneous On-Pump Coronary Artery Bypass Grafting to the Left Anterior Descending Artery.
Naonori Kawamoto, Kizuku Yamashita, Kota Suzuki et al.
✦ AI-curated · Sources linked
Case in brief
Two patients with severe mitral regurgitation and proximal left anterior descending artery (LAD) stenosis underwent robotic mitral valve repair combined with on-pump coronary artery bypass grafting to the LAD. The internal mammary artery was harvested robotically. Both procedures had favorable outcomes, demonstrating that the combined operation was feasible in these selected patients.
What made this case unusual
The operation combined robotic mitral valve repair with on-pump LAD bypass using a robotically harvested internal mammary artery, addressing concomitant valvular and coronary disease through a minimally invasive robotic approach.
Diagnostic / clinical pearl
In appropriately selected patients with severe mitral regurgitation and proximal LAD stenosis, robotic valve repair and on-pump LAD bypass can be performed together using a robotically harvested internal mammary artery.