Robotic Mitral Valve Replacement in Pectus Excavatum

Onan, Burak; Bakır, İhsan

doi:10.1111/jocs.12740

Cited by 10 publications

(10 citation statements)

References 8 publications

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“…Robotic systems provide three-dimensional visualization and utilize long-shafted endoscopic instruments with seven degrees of freedom. These features enable minimally invasive mitral valve procedures to be performed as successfully as with conventional sternotomy but with reduced trauma, less need for blood and blood products, and shorter intensive care unit and hospital stays [4-6,9] . As surgeons use robotic surgical platforms for increasingly complex procedures, it is important to collate clinical data to validate the use of these methods for various surgery types and patient groups.…”

Section: Discussionmentioning

confidence: 99%

Robotic Mitral Valve Surgey Combined with Left Atrial Reduction and Ablation Procedures

Ünal¹,

Şen²,

Kadiroğulları³

et al. 2019

Braz J Cardiovasc Surg

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Introduction This study aimed to evaluate the feasibility and efficacy of robotically assisted, minimally invasive mitral valve surgery combined with left atrial reduction for mitral valve surgery and elimination of atrial fibrillation (AF). Methods Eleven patients with severe mitral regurgitation, AF, and left atrial enlargement who underwent robotic, minimally invasive surgery between May 2013 and March 2018 were evaluated retrospectively. The da Vinci robotic system was used in all procedures. The patients’ demographic data, electrocardiography (ECG) findings, and pre- and postoperative transthoracic echocardiography findings were analyzed. During follow up ECG was performed at postoperative 3, 6, and 12 months additionally at the 3 rd month trans thoracic echocardiography was performed and functional capacity was also evaluated for all patients. Results All patients underwent robotic-assisted mitral valve surgery with radiofrequency ablation and left atrial reduction. Mean age was 45.76±16.61 years; 7 patients were male and 4 were female. Preoperatively, mean left atrial volume index (LAVI) was 69.55±4.87 mL/m 2 , ejection fraction (EF) was 54.62±8.27%, and pulmonary artery pressure (PAP) was 45.75±9.42 mmHg. Postoperatively, in hospital evaluation LAVI decreased to 48.01±4.91 mL/m 2 ( P =0.008), EF to 50.63±10.13% ( P >0.05), and PAP to 39.02±3.11 mmHg ( P =0.012). AF was eliminated in 8 (72%) of the 11 patients at the 1 st postoperative month. There were significant improvements in functional capacity and no mortality during follow-up. Conclusion Left atrial reduction and radiofrequency ablation concomitant with robotically assisted minimally invasive mitral valve surgery can be performed safely and effectively to eliminate AF and prevent recurrence.

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Section: Discussionmentioning

confidence: 99%

Robotic Mitral Valve Surgey Combined with Left Atrial Reduction and Ablation Procedures

Ünal¹,

Şen²,

Kadiroğulları³

et al. 2019

Braz J Cardiovasc Surg

Self Cite

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“…Onan et al reported one case of robotic mitral valve replacement in PE, and present the feasibility of robotic surgery in patients with a lower Heller index. And they mentioned the limitation of single lung ventilation, placement and mobility of the robotic arms and exposure of the aorta for clamping in severe PE 9 . In the present cases, an intraoperative sternum lifting technique was used, and the risk during robotic mitral valve plasty was avoided.…”

Section: Discussionmentioning

confidence: 81%

“…And they mentioned the limitation of single lung ventilation, placement and mobility of the robotic arms and exposure of the aorta for clamping in severe PE. 9 In the present cases, an intraoperative sternum lifting technique was used, and the risk during robotic mitral valve plasty was avoided. On the contrary, the presence of the bar prevents effective cardiac massage in the case of cardiac arrest and CPR maneuvers.…”

Section: Discussionmentioning

confidence: 95%

Combined robot‐assisted mitral valve plasty and Nuss procedure via small ports

et al. 2021

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Pectus excavatum (PE) can be associated with cardiac disorders that also require surgical repair. Totally endoscopic robot‐assisted mitral valve plasty for mitral valve regurgitation was performed while elevating the sternum with the aid of our original electrical sternum lifting system. Then, the Nuss procedure was performed successfully via small incision. Simultaneous robot‐assisted cardiac surgery and the Nuss procedure is effective. Sternal elevation during cardiac surgery is very important for a safe procedure. The Nuss technique prevents perioperative cardiac compression and allows for correction of the pectus deformity with good cosmetic and functional results.

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“…Limited data have been reported regarding the use of robotic surgery in the presence of sternal anomalies [3]. Various surgical approaches, including right minithoracotomy, left thoracotomy, conventional sternotomy, and combined reconstructive procedures have been reported [4].…”

Section: Discussionmentioning

confidence: 99%

Robotically Assisted Mitral Valve Repair as the Treatment of Choice for Patients with Difficult Anatomies

Russo

Ouda

Andreas

et al. 2019

Korean J Thorac Cardiovasc Surg

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Robotically assisted mitral valve repair has proven its efficacy during the last decade. The most suitable approach for patients with difficult anatomies, such as morbid obesity, sternal deformities, cardiac rotation, or vascular anomalies, represents a current challenge in cardiac surgery. Herein, we present the case of a 71-year-old patient affected by severe degenerative mitral valve regurgitation with pectus excavatum and a right aortic arch with an anomalous course of the left subclavian artery who was successfully treated using a Da Vinci–assisted approach.

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Robotic Mitral Valve Replacement in Pectus Excavatum

Cited by 10 publications

References 8 publications

Robotic Mitral Valve Surgey Combined with Left Atrial Reduction and Ablation Procedures

Robotic Mitral Valve Surgey Combined with Left Atrial Reduction and Ablation Procedures

Combined robot‐assisted mitral valve plasty and Nuss procedure via small ports

Robotically Assisted Mitral Valve Repair as the Treatment of Choice for Patients with Difficult Anatomies

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