title: Robotic Transcatheter Mitral Valve Replacement Using the Sapien XT in the Setting of Severe Mitral Annular Calcification.
abstract: We describe the use of the Sapien XT, placed in the mitral position using a totally endoscopic robotic approach in a 76-year-old man with extensive circumferential mitral calcifications and severe stenosis. The patient was at high risk for traditional open surgery and a large mitral valve annulus prevented safe transcatheter deployment due to size mismatch. Our novel approach offered a minimally invasive technique for native mitral valve replacement in a high-risk patient with anatomical constraints prohibitive to conventional approaches. doi: 10.1111/jocs.12737 (J Card Surg 2016;31:303-305).
authors.affiliation: Department of Cardiothoracic Surgery, NYU Langone Medical Center, New York, New York.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Koeckert
authors.affiliation: Department of Cardiothoracic Surgery, NYU Langone Medical Center, New York, New York.
authors.forename: Didier F
authors.initials: DF
authors.lastname: Loulmet
authors.affiliation: Department of Cardiothoracic Surgery, NYU Langone Medical Center, New York, New York.
authors.forename: Mathew R
authors.initials: MR
authors.lastname: Williams
authors.affiliation: Department of Anesthesiology, NYU Langone Medical Center, New York, New York.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Neuburger
authors.affiliation: Department of Cardiothoracic Surgery, NYU Langone Medical Center, New York, New York.
authors.forename: Eugene A
authors.initials: EA
authors.lastname: Grossi
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000175:diagnosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D011474:Prosthesis Design; D012371:Robotics / Q000379:methods*; D012720:Severity of Illness Index