Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Nov;5(6):573-576.
doi: 10.21037/acs.2016.03.13.

Robotic mitral valve surgery: current limitations and future directions

A Marc Gillinov  1 , Rakesh Suri  1 , Stephanie Mick  1 , Tomislav Mihaljevic  1
Affiliations

Robotic mitral valve surgery: current limitations and future directions

A Marc Gillinov et al. Ann Cardiothorac Surg. 2016 Nov.

Abstract

Use of the surgical robot facilitates less invasive mitral valve surgery. Although multiple single center studies confirmed excellent results with robotically-assisted mitral valve surgery, both real and perceived limitations have slowed adoption of this technology. Some still question the safety and efficacy of robotically-assisted mitral valve surgery. However, present data suggests that robotic operations can be performed by specialized surgeons in appropriately selected patients without compromising results. That said, the robot does introduce additional procedural complexity related to management of cardiopulmonary bypass and myocardial protection. A direct approach to these challenges combined with careful patient selection enables the surgeon to obtain excellent results with robotically-assisted mitral valve surgery.

Keywords: Robotic; mitral valve.

PubMed Disclaimer

Conflict of interest statement

Dr. Gillinov discloses the following relationships—Honoraria for speaking (Intuitive Surgical, Medtronic, Edwards Lifesciences, AtriCure, ClearFlow); Consultant (On-X, Abbott); Equity interest (ClearFlow); Research support (St. Jude Medical). The other authors have no conflicts of interest to declare.

References

    1. Mihaljevic T, Jarrett CM, Gillinov AM, et al. Robotic repair of posterior mitral valve prolapse versus conventional approaches: potential realized. J Thorac Cardiovasc Surg 2011;141:72-80.e1-4. - PubMed
    1. Suri RM, Burkhart HM, Daly RC, et al. Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: establishing the benchmark against which percutaneous interventions should be judged. J Thorac Cardiovasc Surg 2011;142:970-9. 10.1016/j.jtcvs.2011.07.027 - DOI - PubMed
    1. Paul S, Isaacs AJ, Jalbert J, et al. A population-based analysis of robotic-assisted mitral valve repair. Ann Thorac Surg 2015;99:1546-53. 10.1016/j.athoracsur.2014.12.043 - DOI - PubMed
    1. Gammie JS, Zhao Y, Peterson ED, et al. J. Maxwell Chamberlain Memorial Paper for adult cardiac surgery. Less-invasive mitral valve operations: trends and outcomes from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg 2010;90:1401-8, 1410.e1; discussion 1408-10. - PubMed
    1. Nifong LW, Rodriguez E, Chitwood WR, Jr. 540 consecutive robotic mitral valve repairs including concomitant atrial fibrillation cryoablation. Ann Thorac Surg 2012;94:38-42; discussion 43. 10.1016/j.athoracsur.2011.11.036 - DOI - PubMed

LinkOut - more resources