Thoracic Key

Fig. 32.1 Dual console da Vinci® SI robotic surgical system: the 3-D camera and instrument end-effectors can be controlled from either console. This is an ideal platform for both teaching…

Fig. 26.1 Incision and robotic instrument placement: after determining the aortic valve level from the preoperative CT scan, the working-port incision is made directly over the corresponding interspace. The robotic…

Fig. 8.1 Left-side port placement. Left-side instrument ports are used for grafting the left anterior descending (LAD), diagonal branches (DB), ramus branch (RB), and obtuse marginal (OM1 and OM2) vessels….

Fig. 17.1 Operative Set-up. A right fourth intercostal space mini-thoracotomy is used for access. Cardiopulmonary bypass is established using femoral canulation. A trans-thoracic cross clamp is used to arrest the…

Fig. 28.1 Robot-assisted Bi-ventricular lead placement—positioned patient with port-sites: the patient is placed in the left lateral decubitus position so that the back is aligned with the left side of…

Fig. 19.1 Leaflet prolapse with annular calcium – An islet of annular calcium is shown along with a flail posterior leaflet P2 segment due to ruptured chordae tendenae. Using robotic…

Fig. 5.1 A Swan-Ganz pulmonary artery catheter is introduced into the right internal jugular vein. A thin-walled venous cannula (15–17 Fr Biomedicus ™) is passed into the distal superior vena…

Fig. 9.1 Cardica Flex A™ graft to coronary artery anastomotic device. (a) The anastomotic end is equipped with a graft-stabilizing platform, an anvil that fits in the coronary arteriotomy, and…

Fig. 29.1 Different types of atrial septal defects: these include the most common type, which is a ostium secundum defect (S) occurring in the central part of the atrial septum…

Fig. 1.1 Concept of automated soft tissue dissection. A standard industrial robot is used to hold a high frequency ultrasound probe. The probe detects the flow-signal of the vessel (i.e….