1.
Robert Poston, MD
Chairman, Department of Cardiothoracic Surgery
St Francis Medical Center, Trenton, NJ

2.
Prior Sternotomy
Head

3.
Sternal Wire
Heart

4.
RIMA
Head

5.
In situ RIMA
to LAD

6.
 Robotic-assistance addresses problems with
reoperative CABG in setting of cancer
 Increased IMA graft usage
 Safe
 Decreased cost
 Able to tolerate postop radiation therapy