First Human Totally Endoscopic Robotic Assisted Sutureless Aortic Valve Replacement

Publication date: Available online 19 June 2019Source: The Annals of Thoracic SurgeryAuthor(s): Husam H. Balkhy, Hiroto KitaharaAbstractThis is the first human case of totally endoscopic robotic-assisted aortic valve replacement using a sutureless valve. The patient is a 76 year-old male with symptomatic severe aortic valve insufficiency. A 12 mm robotic camera port and 25 mm working port were placed in the 2nd intercostal space, and two 8 mm arm ports in the 1st and the 3rd intercostal space with femoro-femoral cardiopulmonary bypass. Aortotomy, leaflet resection, confirmation of intra-annular 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.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research