Redo Robotic Endoscopic Beating Heart Coronary Bypass (TECAB) After Previous TECAB  Sarah Nisivaco, BS, Mackenzie McCrorey, PA-C, Dorothy Krienbring,

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Redo Robotic Endoscopic Beating Heart Coronary Bypass (TECAB) After Previous TECAB  Sarah Nisivaco, BS, Mackenzie McCrorey, PA-C, Dorothy Krienbring, BSN, Brooke Patel, NP-C, Sudhir Srivastava, MD, Husam H. Balkhy, MD  The Annals of Thoracic Surgery  Volume 104, Issue 6, Pages e417-e419 (December 2017) DOI: 10.1016/j.athoracsur.2017.06.067 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Angiogram shows patent left internal mammary artery-to-left anterior descending (LIMA-LAD) anastomosis from (left) first operation and (right) ostial circumflex artery stenosis. The Annals of Thoracic Surgery 2017 104, e417-e419DOI: (10.1016/j.athoracsur.2017.06.067) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (Left) EndoWrist Stabilizer (Intuitive, Sunnyvale, CA) and (right) Flex-A distal anastomotic device (Dextera, Redwood City, CA). The Annals of Thoracic Surgery 2017 104, e417-e419DOI: (10.1016/j.athoracsur.2017.06.067) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative image of anastomosis with the (left) Flex-A distal anastomotic device (Dextera, Redwood City, CA) and (right) intraoperative flow measurements of (top) new right internal mammary artery (RIMA)-to-circumflex graft and (bottom) old left internal mammary artery-to-left anterior descending (LIMA-LAD) graft. (DF = diastolic filling; HR = heart rate; PI = pulsatility index.) The Annals of Thoracic Surgery 2017 104, e417-e419DOI: (10.1016/j.athoracsur.2017.06.067) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions