重做（Rima LAD）机器人冠状动脉旁路移植术

                               
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Patient with prior failed bypass graft to a coronary artery on the front of the heart called the LAD. The prior procedure was done through a large incision in the front of the chest called a sternotomy, which creates scar tissue that fuses the heart to the back of the sternum and makes it dangerous to reopen the chest via the sternum. The surgical plan was to use the right internal mammary artery as a bypass graft for this LAD vessel. As illustrated in this full length (50 minute) video, the use of robotics allows the scar tissue to safely be addressed with little risk of injuring the heart and causing minimal bleeding. With this approach, the right mammary artery, which was the sole source of blood supply to the sternum, is then harvested and grafted onto the LAD. There is no risk of poor healing of the sternal bone because there is no sternal incision.