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Belhhan Akpinar
Mustafa Guden
Ertan Sagbas
Ilhan Sanisoglu
Baris Caynak
Zehra Bayramoglu
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Right arrow Valve disease

Ann Thorac Surg 2006;81:1095-1098
© 2006 The Society of Thoracic Surgeons

New technology

Robotic-Enhanced Totally Endoscopic Mitral Valve Repair and Ablative Therapy

Belhhan Akpinar, MD * , Mustafa Guden, MD, Ertan Sagbas, MD, Ilhan Sanisoglu, MD, Baris Caynak, MD, Zehra Bayramoglu, MD

Department of Cardiac Surgery, Florence Nightingale Hospital, Istanbul, Turkey

Accepted for publication September 12, 2005.

* Address correspondence to Dr Akpinar, Department of Cardiac Surgery, Florence Nightingale Hospital, Abidei Hurriyet Cad No. 290, Sisli-Istanbul, PB 80220 Turkey (Email: belh{at}tnn.net).

PURPOSE: The aim of this article was to assess the feasibility of totally closed robotic mitral valve repair and ablative therapy.

DESCRIPTION: Two patients with mitral valve disease and permanent atrial fibrillation underwent the combined procedure using the da Vinci robotic system (Intuitive Surgical, Sunnyvale, CA). Radiofrequency ablation was performed using the Cardioblate XL unipolar pen (Medtronic Inc, Minneapolis, MN). One patient underwent mitral commissurotomy and the other commissurotomy and Reed annuloplasty.

EVALUATION: There were no procedure-related complications. Sinus rhythm was established in both patients after the operation, and transesophageal echocardiography revealed competent mitral valves without residual gradients.

CONCLUSIONS: Robotic-enhanced mitral valve repair and ablation proved feasible in both patients with good clinical outcome. The described combined method may find broader application in a selected group of patients with the continuing evolution in technology.




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