Complex repair of a Barlow's valve using the Da Vinci robotic surgical system.
Robotic mitral valve repair is increasingly being used for mitral valve repair. However, the repair of a bileaflet prolapse (especially Barlow's type) is difficult and not often considered suitable for a robotic-assisted approach. The case is reported of a successful robotic-assisted repair of a Barlow's valve, including posterior leaflet resection, chordal transfer, cleft repair, construction of Gore-Tex neo-chords, bilateral commissuroplasties, and a flexible/partial annuloplasty. The total cardiopulmonary bypass and cross-clamp times were 231 and 183 min, respectively. The patient was discharged home on the third postoperative day and is doing well one year later, with no residual mitral regurgitation.
Department of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. Smasroor@mcw.edu
Saqib
S
Masroor
Christopher
C
Plambeck
Melissa
M
Dahnert
D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000453:epidemiology; D008945:Mitral Valve Prolapse / Q000150:complications / Q000601:surgery*; D012307:Risk Factors; D012371:Robotics; D016896:Treatment Outcome