Abstract

Results: 26 males and 12 females with isolated mitral regurgitation due to posterior leaflet pathology were selected for robot-assisted surgery. 38/38 patients (100%) received mitral valve repair, all of which were deemed satisfactory on post-operative echocardiogram. Eight patients (22%) had concomitant PFO closure, and 3 (8%) had concomitant cryoprobe pulmonary vein isolation for atrial fibrillation. Median blood loss was 570mL, mean transfusion requirements 1.2 units packed cells, 1.2 units FFP, and 0.2 units pooled platelets. There was 1 (2.6%) takeback for bleeding. Median ICU length-of-stay was 20.5 h and hospital length-of-stay 7 days. Conclusion: Robot-assisted surgery allows for very satisfactory mitral valve repair in highly selected patients. There is a significant learning-curve associated with this form of surgery. doi:10.1016/j.hlc.2008.05.167 CARDIAC – TECHNOLOGY

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