Procedure

Endoscopic robotically-assisted mitral valve repair

^a Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue/J4-1, Cleveland, OH 44195, USA
^b Department of Cardiothoracic Anesthesia, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue/J4-1, Cleveland, OH 44195, USA

^* Corresponding author: Corresponding author. Tel.: +1-216-444 0648; fax: +1-216-636 1260. mihaljt{at}ccf.org

Robotic surgical instrumentation allows minimally invasive mitral valve repair through an endoscopic approach, eliminating the need for a thoracotomy. Robotic instruments are inserted through port-like incisions in the right hemithorax, while cardiopulmonary bypass is established via cannulation of the femoral vessels. We describe triangular resection, a simple and reproducible robotically-assisted technique for repair of posterior leaflet prolapse. The repair is completed with insertion of an annuloplasty ring.

Key Words: Minimally invasive surgical procedures • Mitral valve • Mitral valve prolapse