Unrecognized indication for robot-assisted cardiac surgery: Patients with acute psychotic disorders

Abstract

Patients with acute psychotic disorders are often considered as inappropriate candidates for cardiac surgery as well as for other surgical interventions. Post-operative care and patient compliance, which are the main problems associated with such patients, are the most important issues for conventional cardiac surgery. Robot-assisted cardiac surgery may be a new solution in this respect. In this report we aimed to present our acute psychotic patient with serious mitral insufficiency secondary to huge atrial myxoma, treated with robotic cardiac surgery.

Surgical treatment of a left ventricular apical thrombus via robotic surgery

“…Furthermore, sternal stability is one of the main factors for patients with postoperative agitations and delirium. Demirkilic et al reported a robotic atrial myxoma excision in a patient with psychotic disorders and concluded that robotic cardiac surgery should be considered the gold standard surgical technique in patients who are incompatible with routine postoperative care. We also believe that robotic surgery seems to be a very good option for these patients.…”

Robotic repair of atrial septal defect with partial pulmonary venous return anomaly: Our 5 year experience

“…The DaVinci™ Robotic System enables the surgeon to visualise the surgical field in detail with three‐dimensional, 10‐times magnified high‐definition visualisation and provides perfect mobility of endoscopic instruments. In addition, robotic arms have the ability to tremor‐free movements with 5400 3,5 . Therefore, more complex procedures as in our study population can simply be performed with robotic approach.…”

“…The daVinci ® SI model (Intuitive Surgical Inc.,) was used. We described our standard robotic set‐up and surgical technique in our previous papers 3–5 . Briefly, common femoral vein was used for inferior caval decompression and right jugular vein was used for superior caval decompression.…”

“…We described our standard robotic set-up and surgical technique in our previous papers. [3][4][5] Briefly, common femoral vein was used for inferior caval decompression and right jugular vein was used for superior caval decompression. In these cases, superior caval cannula was placed more superior than other robotic procedures to allow superior caval clamping (detailed below).…”

“…2,3 However, most of these reports are about simple septal defects without additional congenital anomalies. Earlier, most of surgeons considered that additional congenital anomalies could be a contraindication for robotic interventions.…”