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Eur J Cardiothorac Surg 2004;26:845-847
© 2004 Elsevier Science NL

Case report

Totally endoscopic off-pump bilateral internal thoracic artery bypass grafting

^a Department of Cardiovascular Surgery, Unit 31, Professor Jegaden, Hôpital Pradel, Claude Bernard University, INSERM E0226, 28, avenue du doyen Lepine, 69677 Bron Cedex, France
^b Department of Anesthesia, Pr. Lehot. Hôpital Pradel, Bron Cedex, France

Received 25 February 2004; received in revised form 14 April 2004; accepted 5 May 2004.

^* Corresponding author. Tel.: +33-4-72-35-75-28; fax: +33-4-72-35-75-32
e-mail: fadi.farhat{at}chu-lyon.fr

The introduction of robotic assistance has enabled totally endoscopic closed chest procedures, most often by left internal thoracic artery to left (LITA) anterior descending. Endoscopic stabilizers have made off-pump surgery feasible. We report the first case of a totally endoscopic off-pump bilateral ITA grafting in a 58-year-old patient.

Key Words: Coronary • Robotic • Internal thoracic arteries • Off-pump

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