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Figure 7. Robotic coronary artery bypass: stabilization and distal anastomosis.
Figure 8. Hybrid coronary revascularization coronary angiogram: robotic left internal mammary artery to left anterior descending and
stenting of the proximal circumflex artery.
HCR AND CARDIOPULMONARY BYPASS
Efforts to move towards a minimally invasive approach have been spearheaded by surgeons who developed
expertise in OPCAB, interested in combining the benefits of minimally invasive approaches and OPCAB.
Therefore, all of our robotic-assisted cases at Emory are performed off-pump for the LIMA LAD
anastomosis, using specially designed, minimally invasive tissue stabilizers for robotic cases. In patients
where we suspect we may need a cardiopulmonary bypass, the initial favored approach is a standard median
sternotomy.
