Robotic-enhanced totally endoscopic mitral valve repair and ablative therapy.
OBJECTIVE
The aim of this article was to assess the feasibility of totally closed robotic mitral valve repair and ablative therapy.


METHODS
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.


RESULTS
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.
Department of Cardiac Surgery, Florence Nightingale Hospital, Istanbul, Turkey. belh@tnn.net
Belhhan
B
Akpinar
Mustafa
M
Guden
Ertan
E
Sagbas
Ilhan
I
Sanisoglu
Baris
B
Caynak
Zehra
Z
Bayramoglu
D001281:Atrial Fibrillation / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017115:Catheter Ablation; D004724:Endoscopy; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D011138:Polytetrafluoroethylene; D012371:Robotics; D013537:Sutures
D011138:Polytetrafluoroethylene