Robotically-assisted left atrial fibrillation ablation and mitral valve repair through a right mini-thoracotomy.
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.
Bolotin
Gil
G
Division of Cardiothoracic Surgery, Brody School of Medicine at East Carolina University, Greenville, North Carolina 27858, USA. bolotin@tasmc.health.gov.il
Kypson
Alan P
AP
Nifong
L Wiley
LW
Chitwood
W Randolph
WR
D001281:Atrial Fibrillation / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods*; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008297:Male; D008872:Microwaves; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D019736:Prostheses and Implants; D011667:Pulmonary Veins / Q000601:surgery; D012371:Robotics; D013906:Thoracoscopy; D013908:Thoracotomy / Q000379:methods*; D018084:Ultrasonography, Interventional