Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial

Background Robot-assisted minimally invasive heart surgery is an effective alternative when compared with classical approaches. It has a low mortality and postoperative complications and its long-term durability is comparable with conventional techniques. Aim: To report short- and long-term result...

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Autores principales: Sepúlveda,Edgardo, Ibáñez,Aníbal, Baeza,Cristian, Espíndola,Manuel, Sepúlveda,Gustavo, Maureira,Mauricio, Uribe,Juan Pablo, Salas,Cristian
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2019
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001001303
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spelling oai:scielo:S0034-988720190010013032020-01-16Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicialSepúlveda,EdgardoIbáñez,AníbalBaeza,CristianEspíndola,ManuelSepúlveda,GustavoMaureira,MauricioUribe,Juan PabloSalas,Cristian Heart Septal Defects, Atrial Mitral Valve Prolapse Robotics Background Robot-assisted minimally invasive heart surgery is an effective alternative when compared with classical approaches. It has a low mortality and postoperative complications and its long-term durability is comparable with conventional techniques. Aim: To report short- and long-term results with the use of a robot-assisted transthoracic approach. Patients and Methods: Review of patients undergoing heart surgery between 2015 and 2019 using a robot assisted minimally invasive technique in a single center. We analyzed demographic characteristics, surgical and early ultrasound results. Results: Thirteen procedures were reviewed, nine mitral valve repairs (MVR) in patients aged 61 ± 21 years (seven males) and four atrial septal defect (ASD) closures in patients aged from 24 to 52 years (three men). For MVR, the average extracorporeal circulation and myocardial ischemia times were 120 ± 20.9 and 89 ± 21 minutes, respectively. The median hospitalization was four days. Two cases of MVR had postoperative complications. There was no mortality. All cases showed improvement in their symptoms. Ultrasound findings showed no postoperative mitral insufficiency except in one case. Conclusions: We report very good results in both complex mitral repair and CIA closure, comparable to centers with high standards in minimally invasive robot-assisted heart surgery.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.10 20192019-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001001303es10.4067/s0034-98872019001001303
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Heart Septal Defects, Atrial
Mitral Valve
Prolapse
Robotics
spellingShingle Heart Septal Defects, Atrial
Mitral Valve
Prolapse
Robotics
Sepúlveda,Edgardo
Ibáñez,Aníbal
Baeza,Cristian
Espíndola,Manuel
Sepúlveda,Gustavo
Maureira,Mauricio
Uribe,Juan Pablo
Salas,Cristian
Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial
description Background Robot-assisted minimally invasive heart surgery is an effective alternative when compared with classical approaches. It has a low mortality and postoperative complications and its long-term durability is comparable with conventional techniques. Aim: To report short- and long-term results with the use of a robot-assisted transthoracic approach. Patients and Methods: Review of patients undergoing heart surgery between 2015 and 2019 using a robot assisted minimally invasive technique in a single center. We analyzed demographic characteristics, surgical and early ultrasound results. Results: Thirteen procedures were reviewed, nine mitral valve repairs (MVR) in patients aged 61 ± 21 years (seven males) and four atrial septal defect (ASD) closures in patients aged from 24 to 52 years (three men). For MVR, the average extracorporeal circulation and myocardial ischemia times were 120 ± 20.9 and 89 ± 21 minutes, respectively. The median hospitalization was four days. Two cases of MVR had postoperative complications. There was no mortality. All cases showed improvement in their symptoms. Ultrasound findings showed no postoperative mitral insufficiency except in one case. Conclusions: We report very good results in both complex mitral repair and CIA closure, comparable to centers with high standards in minimally invasive robot-assisted heart surgery.
author Sepúlveda,Edgardo
Ibáñez,Aníbal
Baeza,Cristian
Espíndola,Manuel
Sepúlveda,Gustavo
Maureira,Mauricio
Uribe,Juan Pablo
Salas,Cristian
author_facet Sepúlveda,Edgardo
Ibáñez,Aníbal
Baeza,Cristian
Espíndola,Manuel
Sepúlveda,Gustavo
Maureira,Mauricio
Uribe,Juan Pablo
Salas,Cristian
author_sort Sepúlveda,Edgardo
title Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial
title_short Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial
title_full Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial
title_fullStr Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial
title_full_unstemmed Reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial
title_sort reparación de válvula mitral y cierre de comunicación interauricular, asistida por robot: experiencia inicial
publisher Sociedad Médica de Santiago
publishDate 2019
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019001001303
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