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Robotic Totally Endoscopic Mitral Valve Surgery in Octogenarians: Age Is Just a Number!
Riya Bhasin1, Sarah Nisivaco1, Hiroto Kitahara1
1Section of Cardiac Surgery, University of Chicago Medicine, IL, USA.
Innovations (Philadelphia, Pa.)
|June 3, 2026
Summary
Robotic totally endoscopic mitral valve surgery is safe and effective for octogenarians, demonstrating low complication rates and excellent midterm outcomes. This sternal-sparing approach offers significant benefits for elderly patients undergoing cardiac procedures.
Area of Science:
- Cardiac Surgery
- Minimally Invasive Procedures
- Geriatric Cardiology
Background:
- Octogenarians often face exclusion from mitral valve (MV) surgery due to high risks.
- Sternal-sparing approaches, like robotic MV surgery, may reduce morbidity and mortality in this population.
Purpose of the Study:
- To review the clinical and echocardiographic outcomes of robotic totally endoscopic MV surgery in octogenarian patients.
- To assess the safety and efficacy of this minimally invasive approach in an elderly cohort.
Main Methods:
- Retrospective analysis of 40 octogenarian patients (mean age 83 years) undergoing elective robotic totally endoscopic MV surgery.
- Procedures performed using da Vinci Si or Xi systems with an 8-10 mm working port.
- Analysis of early and midterm clinical outcomes, including complications and length of stay, and echocardiographic results.
Main Results:
- 90% of patients underwent successful MV repair with a low conversion rate (2.5%) to sternotomy.
- No perioperative myocardial infarctions, strokes, or early mortalities were observed.
- Excellent midterm results showed 90% of patients with none to mild mitral regurgitation at 36-month follow-up.
Conclusions:
- Robotic totally endoscopic MV surgery is a safe and effective option for octogenarians.
- This sternal-sparing technique offers significant benefits, including reduced complications and favorable midterm outcomes, for elderly patients requiring MV surgery.
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