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Updated: Sep 26, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Robot-Assisted Totally Endoscopic Mitral Valve Plasty and Coronary Artery Bypass Grafting
Norihiko Ishikawa1, Go Watanabe1, Takafumi Horikawa1
1Department of Cardiovascular Surgery, NewHeart Watanabe Institute, Tokyo, Japan.
Abstract:
We experienced 3 cases of port-access robot-assisted totally endoscopic technique for mitral valve repair and concomitant coronary artery bypass. The right internal mammary artery was harvested, mitral valve was fixed, and the right internal mammary artery to right coronary artery anastomosis was carried out on the arrested heart. The use of cardiac arrest and a V-shaped hook technique facilitated the coronary anastomosis and the da Vinci Firefly test (Intuitive Surgical Inc., Sunnyvale, CA) could confirm patency of the graft.

