First Human Totally Endoscopic Robotic-Assisted Sutureless Aortic Valve Replacement

Husam H Balkhy; Hiroto Kitahara

doi:10.1016/j.athoracsur.2019.04.093

First Human Totally Endoscopic Robotic-Assisted Sutureless Aortic Valve Replacement

Ann Thorac Surg. 2020 Jan;109(1):e9-e11. doi: 10.1016/j.athoracsur.2019.04.093. Epub 2019 Jun 19.

Authors

Husam H Balkhy¹, Hiroto Kitahara²

Affiliations

¹ Section of Cardiac and Thoracic Surgery, The University of Chicago School of Medicine, Chicago, Illinois. Electronic address: hbalkhy@uchicago.edu.
² Section of Cardiac and Thoracic Surgery, The University of Chicago School of Medicine, Chicago, Illinois.

PMID: 31228409
DOI: 10.1016/j.athoracsur.2019.04.093

Abstract

This is the first human case of totally endoscopic robotic-assisted aortic valve replacement using a sutureless valve. The patient is a 76-year-old man with symptomatic severe aortic valve insufficiency. A 12-mm robotic camera port and 25-mm working port were placed in the second intercostal space, and two 8-mm arm ports in the first and the third intercostal space with femoro-femoral cardiopulmonary bypass. Aortotomy, leaflet resection, confirmation of intraannular valve position, and aortic closure were all performed endoscopically with robotic instruments. The tableside assistant deployed the valve. The patient was discharged on postoperative day 2 without complications.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Aortic Valve / surgery*
Aortic Valve Insufficiency / surgery*
Endoscopy*
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Robotic Surgical Procedures*
Severity of Illness Index