Hybrid Revascularization Approach Using Robot-Assisted Bilateral Internal Mammary Artery Grafting

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Authors: Hugo Monteiro Neder Issa, Luciano Matar, Andre Shuster, Guilherme Augusto Teodoro Athayde, Leticia Ferreira, Martin Bucek, Pedro Romanelli, Diogo Ferrari Centenaro, Joana Ferreira Hornestam, Arthur Monteiro Neder Issa, David Glineur
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Abstract

Hybrid coronary revascularization combines minimally invasive surgical coronary artery bypass grafting with percutaneous coronary intervention. This case report describes a 72-year-old male with multivessel coronary artery disease treated using a hybrid approach: robot-assisted bilateral internal mammary artery grafting followed by percutaneous coronary intervention. This method leverages the strengths of both modalities, offering tailored treatment for specific coronary lesions. The patient's postoperative course was uneventful, and follow-up demonstrated excellent outcomes.

Fields of Study & Subjects

Cardiac and Coronary Surgery Techniques Coronary Interventions and Diagnostics Cerebrovascular and Carotid Artery Diseases

Publication details

Journal / source
Brazilian Journal of Cardiovascular Surgery
Publisher
Sociedade Brasileira de Cirurgia Cardiovascular
Volume
41
Issue
2
Publication date
1 January 2026
Language
EN