The Annals of thoracic surgery · 2024
Robotic-Assisted Aortic Valve Replacement and Coronary Artery Bypass Grafting.
СтатьяКлинический случайПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Badhwar Vinay, Raikar Goya V, Darehzereshki Ali, Mehaffey J Hunter, Daggubati Ramesh, Wei Lawrence M
Аннотация
PURPOSE: Left chest robotic left internal thoracic artery (LITA) to left anterior descending (LAD) coronary revascularization has been established. We describe robotic aortic valve replacement and coronary artery bypass grafting through a right lateral approach.
DESCRIPTION: A 73-year-old woman with severe aortic insufficiency, 70% LAD stenosis, and ejection fraction of 0.35 presented with recalcitrant symptoms. She sustained a stroke 1 year before surgery. She was frail, with a body mass index of 17 kg/m2. Her Society of Thoracic Surgeons predicted risk of mortality was 10%. Given minimal leaflet calcium, transcatheter options were declined, and she was referred for high-risk nonsternotomy surgical consideration.
EVALUATION: After informed consent, a single-incision 4-cm right lateral working incision facilitated on-pump arrested fully robotic 23-mm bioprosthetic aortic valve replacement and LITA-LAD grafting. The LITA harvest time was 43 minutes, and LAD anastomosis was 27 minutes. This frail patient recovered expectantly and was discharged home.
CONCLUSIONS: Robotic aortic valve replacement and coronary artery bypass grafting is feasible and may represent a viable future option for patients with concomitant aortic valve and coronary disease.
DESCRIPTION: A 73-year-old woman with severe aortic insufficiency, 70% LAD stenosis, and ejection fraction of 0.35 presented with recalcitrant symptoms. She sustained a stroke 1 year before surgery. She was frail, with a body mass index of 17 kg/m2. Her Society of Thoracic Surgeons predicted risk of mortality was 10%. Given minimal leaflet calcium, transcatheter options were declined, and she was referred for high-risk nonsternotomy surgical consideration.
EVALUATION: After informed consent, a single-incision 4-cm right lateral working incision facilitated on-pump arrested fully robotic 23-mm bioprosthetic aortic valve replacement and LITA-LAD grafting. The LITA harvest time was 43 minutes, and LAD anastomosis was 27 minutes. This frail patient recovered expectantly and was discharged home.
CONCLUSIONS: Robotic aortic valve replacement and coronary artery bypass grafting is feasible and may represent a viable future option for patients with concomitant aortic valve and coronary disease.