The patient was to have a Robotic Cabg w/lima.

Because of the pt's severe restrictions a sternotomy could not be considered.

Three 1-cm incisions were taken. Robotic arms were docked. Because of the significant scoliosis and rotation of the heart towards the chest wall. The robotic takedown could not be accomplished since the heart was coming in the way and everytime we tried to displace it posteriorly, she developed significant ectopy and drop in blood pressure.

Despite repeated attempts to take the IMA down we were not successfull.

I am not confidient if 33533-53 would be correct.

Any suggestions??

Thanks in Advance~