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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293634 | PMC |
| http://dx.doi.org/10.21037/acs.2017.01.09 | DOI Listing |
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Concomitant Procedures in Robotic Mitral Valve Surgery.
Semin Thorac Cardiovasc Surg
December 2024
Division of Cardiothoracic and Vascular Surgery; Columbia University Irving Medical Center, New York, NY.
The robotic platform may provide advantages over sternotomy including improved visualization and greater dexterity. With emerging evidence increasingly supporting the importance of concomitantly addressing tricuspid regurgitation and atrial fibrillation, robotic surgeons should be encouraged to perform appropriate concomitant procedures where indicated.
View Article and Find Full Text PDFTogether Toward Patient-Oriented Solutions: The True Spirit of the Heart Team.
JACC Case Rep
November 2024
University Department of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.
Hybrid Approach to Post-Radiation Valve Disease: Robotic Mitral Valve Replacement Alongside Transcatheter Aortic Valve Replacement.
JACC Case Rep
November 2024
Division of Cardiac Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
A 63-year-old woman with history of mediastinal radiation was admitted for decompensated heart failure due to severe post-radiation aortic and mitral valve disease. To reduce cardiopulmonary bypass time and postoperative pulmonary complications, she underwent a hybrid approach with robotic mitral valve replacement and transcatheter aortic valve replacement.
View Article and Find Full Text PDFMidterm Survival, Clinical, and Hemodynamic Outcomes of a Novel Mechanical Mitral Valve Prosthesis.
J Thorac Cardiovasc Surg
November 2024
Division of Cardiothoracic Surgery, Mount Sinai Saint Luke's, New York, NY.
Objectives: To evaluate the midterm survival, clinical, and hemodynamic outcomes of the On-X mechanical mitral valve, based on the 5-year results of the Prospective Randomized On-X Anticoagulation Clinical Trial (PROACT).
Methods: PROACT Mitral was a multicenter study evaluating 401 patients who underwent mitral valve replacement (MVR) with either Standard or Conform-X On-X mitral valves, comparing low-dose and standard-dose warfarin. Here, we report pre-specified, secondary outcomes of survival, New York Heart Association (NYHA) Functional Classification, and valve hemodynamics as assessed by core-lab-adjudicated echocardiography at 1, 3, and 5 years within the pooled population.
Learning curve of robotic mitral repair: prospective two-centre study of proficiency and clinical outcomes.
Eur J Cardiothorac Surg
November 2024
Department of Cardiovascular Surgery, Hospital Clínic, Barcelona, Spain.
Article Synopsis
- - The study explored if prior experience in minimally-invasive mitral valve surgery (MIMVS) helps in learning robotic-assisted mitral valve repair among two cardiac centers.
- - Analysis of the first 62 patients in each center revealed that surgical times were significantly shorter in the center with previous MIMVS experience, but overall patient outcomes were similar.
- - The learning curve was quicker in the center with MIMVS experience, indicating it may provide an advantage in mastering robotic techniques, despite both centers eventually achieving a successful program.
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