Coronary Bypass Surgery
da Vinci® Surgery - Coronary Bypass
Coronary artery disease occurs when a waxy substance (plaque) builds up inside your coronary arteries. As the plaque hardens over time, it can reduce blood flow to your heart. If you have coronary artery disease that cannot be controlled with lifestyle changes, medicine or other options, your doctor may suggest surgery. This type of surgery is known as coronary bypass or revascularization surgery. It can be done with open surgery through one large incision (cut) or minimally invasive surgery through a few small incisions between the ribs (also called thoracoscopy).
Coronary Bypass Surgery
The goal of surgery is to restore blood flow to your heart. This is done by redirecting the flow of blood around a section of the blocked artery. Surgeons take a healthy blood vessel from your leg, arm, chest or abdomen and connect it to the other arteries in your heart. This allows blood to pass around (bypass) in the blocked area. If you’re facing coronary artery surgery, ask your doctor if you are a candidate for minimally invasive surgery, including da Vinci Surgery.
Why da Vinci Surgery?
da Vinci technology enables your surgeon to operate through a few small incisions between your ribs, like minimally invasive thoracoscopy, instead of a large open incision. The da Vinci System is a robotic-assisted surgical device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:
As a result of this technology, da Vinci Mitral Valve Repair Surgery offers the following potential benefits compared to open surgery:
Clinical data suggests da Vinci Mitral Valve Repair Surgery offers the following potential benefits:
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
Risks & Considerations Related to Mitral Valve Repair (surgery on an abnormal/leaking mitral valve):
repair fails to require another operation, stroke caused by a clot that gets stuck in smaller arteries of the brain, heart failure (heart cannot pump enough blood to the body), tear in the aortic wall causes it to separate, lengthy time on a breathing machine of 48 hours or more, lengthy time for a heart-lung machine, extracorporeal membrane oxygenation (outside body technique to provide cardiac and respiratory support), intraaortic balloon pump (mechanical device to increase oxygen to cardiac muscles) or other cardiac assist systems, fluid in the lungs, sudden lack of blood flow to a limb due to a block in the bloodstream, valve infection, irregular heartbeat that requires a pacemaker, sac-like cover around the heart becomes swollen and causes a low fever and chest pain for up to 6 months, bleeding disorder in which the blood cannot properly clot, heart attack, memory loss and/or loss of mental clarity, infections which may affect the kidneys, chest, valves or bladder cut in the major artery(ies) that sends blood to the pelvis and legs, pooling of blood between the chest wall and lung, pressure on the heart when blood/fluids build up between the heart muscle and its outer sac, injury to circumflex coronary artery (blood vessel to heart), inadequate closure.
- Woo YJ, Nacke EA. Robotic minimally invasive mitral valve reconstruction yields less blood product transfusion and shorter length of stay. Surgery 2006;140 (2):263-67.
- Kam JK, Cooray SD, Kam JK, Smith JA, Almeida AA. A cost-analysis study of robotic versus conventional mitral valve repair. Heart Lung Circ. 2010 Jul;19(7):413-8. Epub 2010 Mar 30.
- Folliguet T, Vanhuyse F, Constantino X, Realli M, Laborde F. Mitral valve repair robotic versus sternotomy. Eur J Cardiothorac Surg. 2006 Mar;29(3):362-6. Epub 2006 Jan 19.
- Mihaljevic T, Jarrett CM, Gillinov AM, Williams SJ, DeVilliers PA, Stewart WJ, Svensson LG, Sabik JF 3rd, Blackstone EH. Robotic repair of posterior mitral valve prolapse versus conventional approaches: potential realized. J Thorac Cardiovasc Surg. 2011 Jan;141(1):72 80.e1-4. Epub 2010 Nov 19.
- Felger JE, Chitwood WR Jr, Nifong LW, Holbert D. Evolution of mitral valve surgery: toward a totally endoscopic approach. Ann Thorac Surg. 2001 Oct;72(4):1203-8; discussion 1208-9.
- Suri RM, Antiel RM, Burkhart HM, Huebner M, Li Z, Eton DT, Topilsky T, Sarano ME, Schaff HV. Quality of life after early mitral valve repair using conventional and robotic approaches. Ann Thorac Surg. 2012 Mar;93(3):761-9.
PN 1002213 Rev D 10/2015
Important Safety Information
Patients should talk to their doctors to decide if da Vinci® surgery is right for them. Patients and doctors should review all available information on nonsurgical and surgical options and associated risks in order to make an informed decision.
Serious complications may occur in any surgery, including da Vinci surgery, up to and including death. Serious risks include, but are not limited to, injury to tissues and organs and conversion to other surgical techniques, which could result in a longer operative time and/or increased complications. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.intuitive.com/safety.
Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics, and/or surgeon experience.
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If you have questions about the da Vinci® Surgical System or about surgical procedures conducted with the da Vinci Surgical System, consult a surgeon that has experience with the da Vinci Surgical System. A list of surgeons that have experience with the da Vinci Surgical System can be found in the Surgeon Locator.