Korean J Thorac Cardiovasc Surg 2019; 52(1): 55-57  https://doi.org/10.5090/kjtcs.2019.52.1.55
Robotically Assisted Mitral Valve Repair as the Treatment of Choice for Patients with Difficult Anatomies
Marco Russo, M.D.1,2, Hamed Ouda, M.D.1, Martin Andreas, M.D., Ph.D.1,2, Maurizio Taramasso, M.D., Ph.D.1, Stefano Benussi, M.D.1, Francesco Maisano, M.D.1, Alberto Weber, M.D.1
1University Heart Center Zürich, Universitätsspital Zürich, Zürich University, 2Department of Cardiac Surgery, Medical University of Vienna
Corresponding author: Marco Russo, Department of Cardiac Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Wien, Austria
(Tel) 41-1-393283528248 (Fax) 41-1-4040047031 (E-mail) mar.russo1987@gmail.com
Received: September 7, 2018; Revised: October 25, 2018; Accepted: November 1, 2018.; Published online: February 5, 2019.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Robotically assisted mitral valve repair has proven its efficacy during the last decade. The most suitable approach for patients with difficult anatomies, such as morbid obesity, sternal deformities, cardiac rotation, or vascular anomalies, represents a current challenge in cardiac surgery. Herein, we present the case of a 71-year-old patient affected by severe degenerative mitral valve regurgitation with pectus excavatum and a right aortic arch with an anomalous course of the left subclavian artery who was successfully treated using a Da Vinci–assisted approach.
Keywords: Mitral valve repair, Robotic surgery, Da Vinci System, Chest deformity


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