Robert Poston, MDChairman, Department of Cardiothoracic SurgerySt Francis Medical Center, Trenton, NJ

Prior Sternotomy

Head

Sternal Wire

Heart

RIMA

Head

In situ RIMA to LAD

Robotic-assistance addresses problems with reoperative CABG in setting of cancer Increased IMA graft usage Safe Decreased cost Able to tolerate postop radiation therapy