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.
Division of Cardiothoracic Surgery, Brody School of Medicine at East Carolina University, Greenville, North Carolina 27858, USA. bolotin@tasmc.health.gov.il
Gil
G
Bolotin
Alan P
AP
Kypson
L Wiley
LW
Nifong
W Randolph
WR
Chitwood
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