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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Sociedad Médica de Santiago
2019
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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 |
work_keys_str_mv |
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