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Robotic-assisted beating heart mitral valve surgery: Preliminary report
Cengiz Bolcal1, Murat Kadan1, Gökhan Erol1
1Department of Cardiovascular Surgery, Gülhane Training and Research Hospital, Ankara, Turkey.
Journal of Cardiac Surgery
|November 6, 2022
Summary
Robotic beating heart mitral valve surgery is feasible for patients unsuitable for aortic cross-clamping. This technique shows favorable outcomes, particularly for those with adhesions, calcifications, or low ejection fraction (EF).
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Techniques
- Robotic Surgery
Background:
- Robotic mitral valve surgery presents challenges, especially for patients who cannot undergo aortic cross-clamping.
- This study investigates robotic, beating heart mitral valve surgery as a potential solution.
Purpose of the Study:
- To determine the feasibility and benefits of robotic beating heart mitral valve surgery.
- To assess the technique's efficacy in high-risk patient populations.
Main Methods:
- 17 patients underwent robotic beating heart mitral valve surgery between February 2019 and February 2022.
- Indications included dense periaortic adhesions, heavily calcified aorta, and low ejection fraction (EF).
- 14 patients had prior cardiac surgery.
Main Results:
- Mitral valve replacement was performed in 14 patients; annuloplasty in 2; paravalvular leak repair in 1.
- Additional tricuspid annuloplasties were performed in 3 patients.
- No conversions to sternotomy/thoracotomy, no cerebrovascular events; one death from multiorgan failure.
Conclusions:
- Robotic beating heart mitral valve surgery is a feasible and effective approach.
- The technique offers favorable early and mid-term results.
- It is particularly beneficial for patients unsuitable for aortic cross-clamping due to specific comorbidities.
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