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Updated: Jun 11, 2025

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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
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Closed-chest robotic mitral repair using a semi-rigid ring inserted through a trocar.
Elena Sandoval1, Ignacio Morales-Rey1, Luis Bartolozzi1
1Cardiovascular Surgery Department, Hospital Clínic, Barcelona, Spain.
Summary
This study introduces a new robotic mitral repair technique using a semi-rigid annuloplasty ring. This minimally invasive approach offers advantages for mitral valve repair, potentially broadening its application.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Techniques
- Medical Device Innovation
Background:
- Mitral valve repair utilizes various annuloplasty devices.
- Minimally invasive approaches are increasingly preferred for cardiac procedures.
Purpose of the Study:
- To present a novel totally-thoracoscopic robotic mitral repair.
- To evaluate a new semi-rigid annuloplasty ring with a malleable nitinol core.
Main Methods:
- Robotic-assisted totally-thoracoscopic mitral valve repair.
- Utilization of a new semi-rigid annuloplasty ring designed for trocar insertion.
- Malleable nitinol core facilitates device delivery.
Main Results:
- Successful implementation of the robotic mitral repair technique.
- Demonstration of the new annuloplasty ring's ease of insertion and handling.
- Combination of semi-rigid ring benefits with a totally-thoracoscopic approach.
Conclusions:
- The presented technique offers a viable option for mitral repair.
- This approach may expand the applicability of minimally invasive mitral repair to diverse etiologies.
- Robotic surgery combined with innovative annuloplasty devices enhances mitral repair outcomes.

