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

Abstract

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.

Robotic mitral valve repair, left atrial appendage exclusion, and CryoMAZE in pectus excavatum

“…In conclusion, a robotic-assisted approach in selected patients with pectus excavatum can lead to satisfactory outcomes, 1 , 2 with superior exposure of the mitral valve and avoidance of sternotomy-related postoperative complications.…”