Robotic-Assisted Aortic Valve Bypass (Apicoaortic Conduit) for Aortic Stenosis

• Published in: The Annals of thoracic surgery Vol. 92; no. 2; pp. 726 - 728
• Main Authors: Gammie, James S., MD, Lehr, Eric J., MD, PhD, Griffith, Bartley P., MD, Dawood, Murtaza Y., MD, Bonatti, Johannes, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-08-2011; Elsevier
• Subjects: Aged; Aged, 80 and over; Anastomosis, Surgical - instrumentation; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Aorta, Thoracic - surgery; Aortic Valve - surgery; Aortic Valve Stenosis - surgery; Biological and medical sciences; Bioprosthesis; Blood Vessel Prosthesis; Cardiac Surgical Procedures - instrumentation; Cardiology. Vascular system; Cardiothoracic Surgery; Endocardial and cardiac valvular diseases; Heart; Heart Valve Prosthesis; Heart Ventricles - surgery; Humans; Male; Medical sciences; Pneumology; Prosthesis Failure; Reoperation; Robotics - instrumentation; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Thoracotomy - instrumentation; 35; Aortic stenosis; Treatment; Cardiac valvular disease; Bypass; Surgery; Cardiovascular disease; Anesthesia; Circulatory system; Cardiology; Aortic valve; Robotics
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2011.01.101

Aortic valve bypass (AVB [apicoaortic conduit]) surgery consists of the construction of a valved conduit between the left ventricular apex and the descending thoracic aorta. In our institution, AVB is routinely performed without cardiopulmonary bypass or manipulation of the ascending aorta or native aortic valve. We report the case of an 83-year-old man with severe symptomatic bioprosthetic aortic stenosis, chronic thrombocytopenia, and a patent bypass graft who underwent robotically assisted beating-heart AVB through an anterior minithoracotomy. The distal anastomosis was constructed entirely using robotic telemanipulation. Robotic assistance enables the performance of beating-heart AVB through a small incision.