AI Article Synopsis
- The optimal method for protecting the heart and delivering cardioplegia during robotic heart surgery is still being developed, with current common methods having significant flaws.
- Using an endovascular clamp on the aorta for cardioplegia delivery can lead to serious complications, raising the need for alternative approaches.
- This text introduces a new technique involving a transthoracic aortic clamp and antegrade cardioplegia cannula that avoids thoracotomy, aiming to provide better myocardial protection and reduce complications associated with traditional methods in robotic surgeries.
Article Abstract
The optimal technique for myocardial protection and cardioplegia delivery during totally endoscopic robotic surgery is still under evolution. Cardioplegia delivery with endovascular clamping of the aorta is a common method used for this purpose but has several disadvantages and may lead to serious complications. Here we describe an alternative cardioplegia delivery method during totally endoscopic atrial septal defect closure and mitral valve repair. The method using a transthoracic aortic clamp and an antegrade cardioplegia cannula without any thoracotomy seems to be a safe and reproducible technique, which may enhance myocardial protection and prevent some of the complications of the endoclamp technique during robotically assisted cardiac surgery.
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| http://dx.doi.org/10.1111/j.1540-8191.2009.00885.x | DOI Listing |
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