Combined Minimally Invasive Mitral Valve Repair and Direct Coronary Artery Bypass

Zimmerman-Klima, Pamela M.; Philpott, Jonathan M.; Elbeery, Joseph R; Lalikos, Janice F.; Chitwood, W. Randolph

doi:10.1378/chest.122.1.344

Cited by 8 publications

(5 citation statements)

References 3 publications

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“…Another approach would be to use bilateral mini-thoracotomies as previously reported. 1 This is likely to be far more painful than the approach described in this report. Combined mitral valve repair and coronary artery bypass via unilateral thoracotomy has been reported.…”

Section: Commentmentioning

confidence: 80%

“…This would be much more difficult than the case described here using existing technology. Another approach would be to use bilateral mini‐thoracotomies as previously reported 1 . This is likely to be far more painful than the approach described in this report.…”

Section: Commentmentioning

confidence: 85%

“…The traditional incision for patients requiring mitral valve surgery and coronary artery bypass grafting is a full sternotomy. The alternative approach of a combined left and right mini‐thoracotomy approach with robotic assistance has been described 1 . Partial sternotomy approaches to mitral valve surgery are well established 2 .…”

mentioning

confidence: 99%

“…The alternative approach of a combined left and right mini-thoracotomy approach with robotic assistance has been described. 1 Partial sternotomy approaches to mitral valve surgery are well established. 2 Additionally, the ability to perform coronary anastomosis through small incisions has recently been enhanced by the development an automated distal coronary anastomotic system, C-Port R (Cardica, Inc., Redwood City, CA, USA).…”

mentioning

confidence: 99%

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Robotic Mammary Artery Harvest and Anastomotic Device Allows Minimally Invasive Mitral Valve Repair and Coronary Bypass

Guy

Brzeziński

Stechert

et al. 2009

Journal of Cardiac Surgery

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We report the case of a 60-year-old man requiring combined mitral valve repair and coronary artery bypass grafting. A unique minimally invasive approach was used combining robotic internal mammary artery harvesting, partial lower sternotomy, and single vessel coronary artery bypass grafting using an automated distal coronary artery anastomotic device. Issues in approaching the commonly encountered patient with mitral valve disease and coronary artery disease using minimally invasive techniques are discussed.

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Section: Commentmentioning

confidence: 80%

Section: Commentmentioning

confidence: 85%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Robotic Mammary Artery Harvest and Anastomotic Device Allows Minimally Invasive Mitral Valve Repair and Coronary Bypass

Guy

Brzeziński

Stechert

et al. 2009

Journal of Cardiac Surgery

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“…Alternatively, redocking the robot to the other side of the chest can be considered challenging, adding complexity and length to the procedure. There have been reports of concomitant minimally invasive MVR and coronary bypass, but these have involved the use of minithoracotomy 17 or ministernotomy incisions. 18,19 The ability to reach the anterolateral surface of the heart for LIMA-LAD grafting was fairly easy via the standard rightsided chest ports used for MVR, especially once the heart was decompressed on CPB.…”

Section: Discussionmentioning

confidence: 99%

Combined Totally Endoscopic Robotic Coronary Bypass and Mitral Valve Repair via Right-Sided Ports

Maciolek

Krienbring

Naum

et al. 2013

Innovations�(Phila)

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We present a case of combined coronary artery bypass grafting and mitral valve (MV) repair using a robotic totally endoscopic right-sided approach. A 61-year-old man presented with fatigue due to significant mitral regurgitation and was found to have a tight stenosis in the mid left anterior descending artery. Using the da Vinci robotic system, the patient underwent a left internal mammary artery graft to the left anterior descending artery using the C-Port Flex A distal anastomotic device followed by a MV repair. Both procedures were performed endoscopically via right chest ports and right femorofemoral bypass successfully. The patient was discharged from the hospital 3 days postoperatively and returned to normal activity within 3 weeks after surgery. This case study shows the feasibility of using an endoscopic robotic approach in selected patients undergoing combined MV coronary artery bypass grafting surgery.

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Myocardial Protection During Minimally Invasive Cardiac Surgery

Masroor¹,

Katariya²

2003

Myocardial Protection

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Combined Minimally Invasive Mitral Valve Repair and Direct Coronary Artery Bypass

Cited by 8 publications

References 3 publications

Robotic Mammary Artery Harvest and Anastomotic Device Allows Minimally Invasive Mitral Valve Repair and Coronary Bypass

Robotic Mammary Artery Harvest and Anastomotic Device Allows Minimally Invasive Mitral Valve Repair and Coronary Bypass

Combined Totally Endoscopic Robotic Coronary Bypass and Mitral Valve Repair via Right-Sided Ports

Myocardial Protection During Minimally Invasive Cardiac Surgery

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