RESUMO
In experienced hands, complex mitral valve repair can be safely and effectively performed in a totally endoscopic, robotic-assisted manner. We present a technically complex case of a 76-year-old man with severe, symptomatic mitral regurgitation due to Barlow's disease, moderate-to-severe tricuspid regurgitation, and atrial fibrillation.
Assuntos
Anuloplastia da Valva Mitral , Insuficiência da Valva Mitral , Prolapso da Valva Mitral , Procedimentos Cirúrgicos Robóticos , Masculino , Humanos , Idoso , Valva Mitral/cirurgia , Prolapso da Valva Mitral/cirurgia , Resultado do Tratamento , Insuficiência da Valva Mitral/cirurgiaRESUMO
We describe our technique for totally endoscopic, robotic-assisted thoracic and pericardial adhesiolysis and redo complex mitral valve repair.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Insuficiência da Valva Mitral , Procedimentos Cirúrgicos Robóticos , Humanos , Valva Mitral/cirurgia , Procedimentos Cirúrgicos Robóticos/métodos , Insuficiência da Valva Mitral/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Endoscopia/métodosRESUMO
We detail our technique for totally endoscopic, robotic-assisted mitral valve repair with the reimplantation of a ruptured papillary muscle head supported by double papillary muscle relocation and mitral annuloplasty for the treatment of nonacute ischemic mitral regurgitation.
Assuntos
Anuloplastia da Valva Mitral , Insuficiência da Valva Mitral , Procedimentos Cirúrgicos Robóticos , Humanos , Músculos Papilares/cirurgia , Anuloplastia da Valva Mitral/métodos , Insuficiência da Valva Mitral/cirurgia , ReimplanteRESUMO
We describe our technique for totally endoscopic, robotic-assisted tricuspid valve repair with neochords and annuloplasty in a high-risk, obese patient.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Anuloplastia da Valva Cardíaca , Implante de Prótese de Valva Cardíaca , Procedimentos Cirúrgicos Robóticos , Insuficiência da Valva Tricúspide , Humanos , Valva Tricúspide/cirurgia , Insuficiência da Valva Tricúspide/cirurgia , Procedimentos Cirúrgicos Robóticos/métodos , Valva Mitral/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Implante de Prótese de Valva Cardíaca/métodos , Resultado do Tratamento , Anuloplastia da Valva Cardíaca/métodosRESUMO
Totally endoscopic, robotic-assisted cardiac surgery has been increasingly utilized for valvular surgery. Peripheral cannulation with endoaortic balloon occlusion offers a safe approach for initiation of cardiopulmonary bypass during such procedures. We present a step-by-step demonstration of unilateral percutaneous femoral cannulation, endoaortic balloon positioning, and decannulation in a patient undergoing totally endoscopic, robotic-assisted mitral valve repair.
Assuntos
Oclusão com Balão , Procedimentos Cirúrgicos Cardíacos , Procedimentos Cirúrgicos Robóticos , Oclusão com Balão/métodos , Procedimentos Cirúrgicos Cardíacos/métodos , Ponte Cardiopulmonar , Endoscopia , Humanos , Procedimentos Cirúrgicos Robóticos/métodosRESUMO
Atrial septal defect accounts for 10-15% of congenital heart disease cases. Small-diameter atrial septal defects diagnosed during infancy or early adulthood are prone to spontaneous closure, whereas uncorrected, persistent moderate or large atrial septal defects can induce left-to-right shunting, which causes volume overload, heart failure, atrial arrhythmia, and/or pulmonary hypertension starting between the third and fourth decades of life. We describe in detail our technique for totally endoscopic, robotic-assisted atrial septal defect repair.
Assuntos
Comunicação Interatrial , Procedimentos Cirúrgicos Robóticos , Robótica , Adulto , Endoscopia , Comunicação Interatrial/cirurgia , Humanos , Resultado do TratamentoRESUMO
Papillary fibroelastoma is a rare, benign tumor that affects males more frequently than females and that tends to be diagnosed during the fifth or sixth decade of life. It tends to arise on cardiac valves, with the aortic valve being the most frequent location followed by the mitral valve, the tricuspid valve, and the pulmonary valve. We present the case of a robotic-assisted, totally endoscopic excision of a mitral valve papillary fibroelastoma.
