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Ann Thorac Surg 2005;79:S2248-S2253
© 2005 The Society of Thoracic Surgeons

Supplement

Current Status of Endoscopic and Robotic Mitral Valve Surgery

W. Randolph Chitwood, Jr, MD, FACS*

Division of Cardiothoracic and Vascular Surgery, Eastern Carolina Cardiovascular Institute, University Health Systems, East Carolina University, Greenville, North Carolina

Accepted for publication February 21, 2005.

* Address reprint requests to Dr Chitwood, Division of Cardiothoracic and Vascular Surgery, Department of Surgery, East Carolina University School of Medicine, Moye Blvd, Greenville, NC 27858 (E-mail: chitwoodw{at}mail.ecu.edu).

Presented at the 4th Annual Lillehei Heart Institute Symposium Celebrating the 50th Anniversary of Open-Heart Surgery by Cross Circulation, Minneapolis, MN, Oct 19–20, 2004.

Doctor C. Walton Lillehei and his colleagues set a standard for innovation and new technology development in cardiac surgery. Robotic mitral valve surgery has taken a similar translational course proffered by Lillehei. We evaluated 341 video-assisted and 100 da Vinci robotic mitral repairs done at East Carolina University between 1996 and 2004. The 30-day mortality was 2.2% and 1% for the video-assisted and robotic series, respectively. Complex anterior and posterior leaflet repairs were performed in both cohorts. Repair results were excellent. For the da Vinci group there was a clear learning curve, with repair, perfusion, and aortic cross-clamp times falling significantly (p < 0.05). This reports suggests that robotic and endoscopic minimally invasive mitral surgery could evolve to become the standard of care.




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