Abstract
THE FIRST ROBOTICALLY ASSISTED totally endoscopic coronary artery bypass graft (TECAB) surgery was described by Loulmet et al1 in 1999. Since then, there continues to be a growing interest in this technique for performing minimally invasive cardiac surgery.2-11 Although the technique has been deemed safe and effective, these cases present unique challenges to the anesthesiologist and surgeon.12 These challenges include double-lumen tube (DLT) placement and prolonged one-lung ventilation (OLV), dealing with thoracic insufflation and its hemodynamic consequences, limited physical access to the patient, and technical difficulties with the robot itself.
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