Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique
BackgroundThe primary objective of this study was to evaluate the safety and feasibility of robotic-assisted mitral valve surgery without aortic cross-clamping.MethodsFrom January 2010 to September 2022, 28 patients underwent robotic-assisted mitral valve surgery without aortic cross-clamping in our...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1111496/full |
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| author | Eyüp Murat Ökten Zeynep Sıla Özcan Gökhan Arslanhan Şahin Şenay Ahmet Ümit Güllü Muharrem Koçyiğit Aleks Değirmencioğlu Cem Alhan |
| author_facet | Eyüp Murat Ökten Zeynep Sıla Özcan Gökhan Arslanhan Şahin Şenay Ahmet Ümit Güllü Muharrem Koçyiğit Aleks Değirmencioğlu Cem Alhan |
| author_sort | Eyüp Murat Ökten |
| collection | DOAJ |
| description | BackgroundThe primary objective of this study was to evaluate the safety and feasibility of robotic-assisted mitral valve surgery without aortic cross-clamping.MethodsFrom January 2010 to September 2022, 28 patients underwent robotic-assisted mitral valve surgery without aortic cross-clamping in our center using DaVinci Robotic Systems. Clinical data during the perioperative period and early outcomes of the patients were recorded.ResultsMost patients were in New York Heart Association (NYHA) class II and III. Mean age and EuroScore II of the patients were 71.5 ± 13.5 and 8.4 ± 3.7 respectively. The patients underwent either mitral valve replacement (n = 16, 57.1%) or mitral valve repair (n = 12, 42.9%). Concomitant procedures were performed including tricuspid valve repair, tricuspid valve replacement, PFO closure, left atrial appendage ligation, left atrial appendage thrombectomy and cryoablation for atrial fibrillation. Mean CPB times were 140.9 ± 44.6 and mean fibrillatory arrest duration was 76.6 ± 18.4. Mean duration of ICU stay was 32.5 ± 28.8 h and mean duration of hospital stay 9.8 ± 8.3 days. One patient (3.6%) underwent revision due to bleeding. New onset renal failure was observed in one (3.6%) patient and postoperative stroke in one (3.6%) patient. Postoperative early mortality was observed in two (7.1%) patients.ConclusionsRobotic-assisted mitral valve surgery without cross-clamping is a safe and feasible technique in high-risk patients undergoing redo mitral surgery with severe adhesions as well as in primary mitral valve cases that are complicated with ascending aortic calcification. |
| first_indexed | 2024-03-13T08:22:18Z |
| format | Article |
| id | doaj.art-0434842f389f47a891b85721df3e9725 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-13T08:22:18Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-0434842f389f47a891b85721df3e97252023-05-31T05:43:49ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-05-011010.3389/fcvm.2023.11114961111496Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible techniqueEyüp Murat Ökten0Zeynep Sıla Özcan1Gökhan Arslanhan2Şahin Şenay3Ahmet Ümit Güllü4Muharrem Koçyiğit5Aleks Değirmencioğlu6Cem Alhan7Department of Cardiovascular Surgery, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, TürkiyeDepartment of Cardiovascular Surgery, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, TürkiyeDepartment of Cardiovascular Surgery, Acıbadem Maslak Hospital, Istanbul, TürkiyeDepartment of Cardiovascular Surgery, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, TürkiyeDepartment of Cardiovascular Surgery, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, TürkiyeDepartment of Anesthesiology, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, TürkiyeDepartment of Cardiology, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, TürkiyeDepartment of Cardiovascular Surgery, Acibadem Mehmet Ali Aydınlar University School of Medicine, Istanbul, TürkiyeBackgroundThe primary objective of this study was to evaluate the safety and feasibility of robotic-assisted mitral valve surgery without aortic cross-clamping.MethodsFrom January 2010 to September 2022, 28 patients underwent robotic-assisted mitral valve surgery without aortic cross-clamping in our center using DaVinci Robotic Systems. Clinical data during the perioperative period and early outcomes of the patients were recorded.ResultsMost patients were in New York Heart Association (NYHA) class II and III. Mean age and EuroScore II of the patients were 71.5 ± 13.5 and 8.4 ± 3.7 respectively. The patients underwent either mitral valve replacement (n = 16, 57.1%) or mitral valve repair (n = 12, 42.9%). Concomitant procedures were performed including tricuspid valve repair, tricuspid valve replacement, PFO closure, left atrial appendage ligation, left atrial appendage thrombectomy and cryoablation for atrial fibrillation. Mean CPB times were 140.9 ± 44.6 and mean fibrillatory arrest duration was 76.6 ± 18.4. Mean duration of ICU stay was 32.5 ± 28.8 h and mean duration of hospital stay 9.8 ± 8.3 days. One patient (3.6%) underwent revision due to bleeding. New onset renal failure was observed in one (3.6%) patient and postoperative stroke in one (3.6%) patient. Postoperative early mortality was observed in two (7.1%) patients.ConclusionsRobotic-assisted mitral valve surgery without cross-clamping is a safe and feasible technique in high-risk patients undergoing redo mitral surgery with severe adhesions as well as in primary mitral valve cases that are complicated with ascending aortic calcification.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1111496/fullrobotic surgerymitral surgerymitral valvefibrillating heartaortic cross-clamping |
| spellingShingle | Eyüp Murat Ökten Zeynep Sıla Özcan Gökhan Arslanhan Şahin Şenay Ahmet Ümit Güllü Muharrem Koçyiğit Aleks Değirmencioğlu Cem Alhan Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique Frontiers in Cardiovascular Medicine robotic surgery mitral surgery mitral valve fibrillating heart aortic cross-clamping |
| title | Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique |
| title_full | Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique |
| title_fullStr | Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique |
| title_full_unstemmed | Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique |
| title_short | Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique |
| title_sort | robotic assisted mitral valve surgery without aortic cross clamping a safe and feasible technique |
| topic | robotic surgery mitral surgery mitral valve fibrillating heart aortic cross-clamping |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1111496/full |
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