Int J Med Robot - Is there a role for robotic totally endoscopic coronary artery bypass in HIV positive patients?

Tópicos

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Resumo

CKGROUND: Performing cardiac surgery on HIV positive patients represents a significant risk of occupational exposure to surgeons and their support staff. In addition, the immunocompromized state of these patients may be a factor which could adversely influence the results. Totally endoscopic coronary artery bypass grafting (TECAB) in HIV patients has not been reported.METHODS: A male patient with HIV and Hepatitis C presented with three vessel coronary artery disease requiring surgical revascularization. Totally endoscopic coronary artery bypass grafting was performed. Using the da Vinci surgical robot, the left and right internal mammary arteries were harvested and sutured to the second obtuse marginal branch and the left anterior descending artery respectively.RESULTS: The patient was discharged home on postoperative day six. At one month following the operation, the patient was asymptomatic and had returned to full activity without the need for sternal precautions.CONCLUSIONS: We describe the first case of completely endoscopic coronary surgery using the da Vinci system in an HIV patient. Double internal mammary artery grafting to the left coronary artery system was carried out successfully.

Resumo Limpo

ckground perform cardiac surgeri hiv posit patient repres signific risk occup exposur surgeon support staff addit immunocomprom state patient may factor advers influenc result total endoscop coronari arteri bypass graft tecab hiv patient reportedmethod male patient hiv hepat c present three vessel coronari arteri diseas requir surgic revascular total endoscop coronari arteri bypass graft perform use da vinci surgic robot left right intern mammari arteri harvest sutur second obtus margin branch left anterior descend arteri respectivelyresult patient discharg home postop day six one month follow oper patient asymptomat return full activ without need sternal precautionsconclus describ first case complet endoscop coronari surgeri use da vinci system hiv patient doubl intern mammari arteri graft left coronari arteri system carri success

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