Robotic‐assisted cardiac surgery without aortic cross‐clamping: A safe alternative approach

• DOI: 10.1111/jocs.15160
• Publication Date: 2020-11-02T02:30:43Z
• Authors: Ahmet Ümit Güllü; Şahin Şenay; Egemen Ersin; Önder Demirhisar; Tarik Whitham; Muharrem Koçyiğit; Cem Alhan
• Keywords: Thoracotomy; Median sternotomy; Cryoablation

Background and Aim Attempting to place an aortic cross-clamp may complicate surgery postoperative outcomes in patients who have mediastinal adhesions or those with extensive calcification. Although right-sided cardiac via thoracotomy is not a new technique these patients, robotic-assisted intracardiac repair without cross-clamping was reported large group of previously. In this study, the safety examined. Methods From January 2010 March 2020, 304 underwent our center 25 (8.2%) mean age 65.5 ± 20 years myocardial protection succeeded moderate hypothermic ventricular fibrillatory arrest. Severe pericardial existence highly calcified ascending aorta were indications for arrest during robotic assistant surgery. Results Most New York Heart Association Class ≥II (88.0%) logistic Euroscore value 18.5 22.3. The type operations mitral/tricuspid valve repair/replacement, cryoablation, atrial septal defect closure, pericardiectomy. Cardiopulmonary bypass times 141.5 47 (minimum 77–maximum 252) min. There no case conversion open sternotomy. Hemiparesis observed one patient. Two 78.2 81.9 values had mesenteric ischemia multiorgan failure, respectively, died at period. Conclusions Robotic-assisted provide reasonable severe calcification undergoing repair. These acceptable encourage surgeons perform approach appropriate patients.