Successful identification and bypass of intramural coronary arteries represents a significant technical challenge in coronary revascularization. This case demonstrates the novel application of ICG-guided NIRF imaging to localize an intramural LAD during robotic MIDCAB, preventing conversion to sternotomy. Although ICG-guided NIRF imaging is well established for evaluating anastomoses and graft flow in CABG surgery,3 its utility in delineating intramural coronary anatomy is novel. Further, the literature is sparse regarding its use for identifying the course of intramural coronary vessels.
https://www.jtcvstechniques.org/article/S2666-2507(25)00054-9/fulltext
