Robotic Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass With Port-Access Stabilization and Cardiac Positioning: Paving the Way for.

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Robotic Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass With Port-Access Stabilization and Cardiac Positioning: Paving the Way for Outpatient Coronary Surgery?  Valavanur A. Subramanian, MD, Nilesh U. Patel, MD, Nirav C. Patel, MD, FRCS(C-Th), Didier F. Loulmet, MD  The Annals of Thoracic Surgery  Volume 79, Issue 5, Pages 1590-1596 (May 2005) DOI: 10.1016/j.athoracsur.2004.10.067 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Positioning of patient and port placement. (LIMA = left internal mammary artery; RIMA = right internal mammary artery.) The Annals of Thoracic Surgery 2005 79, 1590-1596DOI: (10.1016/j.athoracsur.2004.10.067) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Overall setup of port access stabilization and cardiac positioning. (MIDCAB = minimally invasive direct coronary artery bypass.) The Annals of Thoracic Surgery 2005 79, 1590-1596DOI: (10.1016/j.athoracsur.2004.10.067) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Obtuse marginal artery stabilization using EndoStarfish (Medtronic, Inc, Minneapolis, MN) and Endostabilizer (Estech, Danville, CA). The Annals of Thoracic Surgery 2005 79, 1590-1596DOI: (10.1016/j.athoracsur.2004.10.067) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Exposure of RCA and PDA using EndoStarfish by transabdominal approach. (PDA = posterior descending artery; RCA = right coronary artery.) The Annals of Thoracic Surgery 2005 79, 1590-1596DOI: (10.1016/j.athoracsur.2004.10.067) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions