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Ann Thorac Surg 2004;78:e63-e64
© 2004 The Society of Thoracic Surgeons

Case report

Robotically-Assisted Left Atrial Fibrillation Ablation and Mitral Valve Repair Through a Right Mini-Thoracotomy

Gil Bolotin, MD, PhD*,a, Alan P. Kypson, MDa, L. Wiley Nifong, MDa, W. Randolph Chitwood, Jr, MDa

a Division of Cardiothoracic Surgery, Brody School of Medicine at East Carolina University, Greenville, North Carolina, USA

Accepted for publication December 17, 2003.

* Address reprint requests to Dr Bolotin, Department of Surgery, Brody School of Medicine, East Carolina University, 600 Moye Blvd, Greenville, NC, USA 27858
bolotin{at}tasmc.health.gov.il

A combined robotic-assisted left atrial ablation and mitral valve repair was done through a 5-cm right anterior mini-thoracotomy. The patient was a 54-year-old man with severe mitral regurgitation and a 10-month history of persistent atrial fibrillation. The patient underwent off-pump, beating heart epicardial peripulmonary vein microwave ablation using the FLEX 10 catheter (AFx Inc, Fremont, CA), followed by supplemental on-pump endocardial lesions. The procedure was done using the da Vinci surgical robot (Intuitive Surgical Inc, Sunnyvale, CA). The mitral valve repair consisted of a No. 38 Cosgrove annuloplasty band implantation (Edwards Life Sciences, LLC, Irvine, CA). The postoperative recovery was uneventful, and the patient maintained normal sinus rhythm.




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