Robotic mitral valve replacement; results from the world’s largest series

Abstract

Minimal invasiveness in cardiac surgery has gained wide acceptance over the last few decades. Robotic techniques enable mitral valve surgery to be performed by the least invasive method, with favorable outcomes. The benefit of a robotic approach in mitral valve surgery has already been demonstrated in mitral valve repair procedures. However, similar benefits can also be obtained in mitral valve replacement (MVR) procedures using the robotic approach (1,2).This study evaluates the clinical outcome of patients with robotic MVR. MethodsBetween January 2010 and April 2022, 117 consecutive patients underwent robotic MVR with or without additional cardiac procedures. All procedures were completed by a single surgical team with Da Vinci Robotic Systems. Data collection & statistical analysisPerioperative variables, demographics and early clinical outcomes were prospectively recorded. Categorical parameters are presented as count and percentage while

Totally endoscopic robotic mitral valve replacement after intraoperative failure of mitral valve repair with bilateral percutaneous cannulation

“…Robotic mitral valve repair has shown comparable morbidity and mortality with open sternotomy and other minimally invasive approaches for mitral repair. 1 Although Arslanhan and colleagues 2 recently demonstrated favorable postoperative outcomes in a series of 117 patients who underwent robotic mitral valve replacement with a 4-cm minithoracotomy, literature describing a totally endoscopic robotic approach is limited to isolated case reports. 3 …”

Simple Tool for Bleeding Control During Minimally Invasive and Robotic Cardiac Surgery

“…The classical setup for the robotic mitral operations in our center was as described previously. 1 Robotic arms were docked from previously marked incision sites. Cardiopulmonary bypass was initiated, and cardiac arrest was achieved with antegrade cardioplegia and cross-clamp placement.…”