Robotic beating-heart totally endoscopic coronary artery bypass

Since the mid-nineties, minimally invasive direct coronary artery bypass grafting (MIDCAB) has evolved thanks to technological development of robotically assisted coronary surgery known as totally endoscopic coronary artery bypass (TECAB). Here, we report the case of a 51-year old lady with typical angina pectoris without any other relevant comorbidity. The angiogram showed a single and severe lesion at the ostium of the left anterior descending (LAD) coronary artery. Following an interdisciplinary heart team approach, a TECAB was proposed and accepted by the patient. This tutorial demonstrates the technical aspects of a single beating-heart TECAB