Robotic-assisted coronary artery bypass graft surgery is an emerging approach since it has been associated with less post-operative complications, and shorter length of stay when compared to conventional surgery. Its utilization is growing up especially in some high-volume centers. Commonly, ischemic coronary artery disease was the main target of this new approach. We present a case of aberrant right coronary artery with a malignant course that was treated using this new approach. The procedure was complicated by acute occlusion of both native coronary artery and graft internal mammary artery. Percutaneous coronary intervention was successfully performed as a bail-out and restored the coronary flow.