Redo Robotic Endoscopic Beating Heart Coronary Bypass (TECAB) After Previous TECAB.

Redo-totally endoscopic coronary artery bypass (TECAB) after previous TECAB to our knowledge has never been reported in the literature. We present a case report of a 65-year-old gentleman who underwent a second beating-heart TECAB with the right internal mammary artery (IMA) to the obtuse marginal branch, following previous TECAB (left IMA-diagonal/left anterior descending). An extensive experience in robotic coronary operation and anastomotic devices contributed to the successful outcome in this patient. We conclude that prior TECAB is not a contraindication to redo-TECAB as long as an IMA conduit is available and left lung adhesions are not prohibitive.