Adult Ventricular Septal Defect Repair Using a Robotic Totally Endoscopic Approach: A Case Report

Abstract

The growth and advancement of minimally invasive cardiac surgery in recent years has allowed robotic and totally endoscopic procedures to become safe and effective options for the treatment of patients with various diseases of the heart. However, despite these advances, outcome data for robotic correction of congenital cardiac anomalies are scarce. This is particularly true for robotic ventricular septal defect (VSD) repair with initial experiences only recently having been published by a single group. Here, we present the case of a 29-year-old female who underwent robotic totally endoscopic VSD repair due to persistent symptoms with resolution of preoperative shunting and severe tricuspid regurgitation following surgery. This unique case adds to the limited data currently available in the literature on robotic VSD repair to show that it is a safe procedure when performed by a dedicated surgical team experienced in minimally invasive robotic cardiac surgery. We feel that, in this setting, the benefits of a robotic surgical approach can be afforded to more patients with excellent results.

Keywords

ventricular septal defect congenital cardiac surgery repair endoscopic robotic surgery

Get full access to this article

View all access options for this article.

References

Wiedemann

Schachner

Kocher

et al. Robotic totally endoscopic surgery for congenital cardiac anomalies. Eur Surg 2011; 43: 212–217.doi:10.1007/s10353-011-0025-z

Gao

Yang

Wang

et al. Totally endoscopic robotic ventricular septal defect repair. Innovations 2010; 5: 278–280.doi:10.1097/imi.0b013e3181ee94cb

http://www.ncbi.nlm.nih.gov/pubmed/22437458

Gao

Yang

Wang

et al. Totally endoscopic robotic ventricular septal defect repair in the adult. J Thorac Cardiovasc Surg 2012; 144: 1404–1407.doi:10.1016/j.jtcvs.2012.01.027

http://www.ncbi.nlm.nih.gov/pubmed/22305549

Omar

Morgan

GL.

Panchal

et al. Management of post-myocardial infarction ventricular septal defects: a critical assessment. J Interv Cardiol 2018; 31: 939–948.doi:10.1111/joic.12556

http://www.ncbi.nlm.nih.gov/pubmed/30318677

Dagnegård

HH.

Ugander

Liska

et al. Ventricular septal perforation caused by the strut of a mitral valve bioprosthesis. Ann Thorac Surg 2016; 101: 1164–1166.doi:10.1016/j.athoracsur.2015.05.035

http://www.ncbi.nlm.nih.gov/pubmed/26897197

Patel

Vassileva

Mishkel

. Rare complication of ventricular septal defect in three patients following transcatheter aortic valve replacement. Catheter Cardiovasc Interv 2014; 83: 497–501.doi:10.1002/ccd.25207

http://www.ncbi.nlm.nih.gov/pubmed/24123754

Stout

KK.

Daniels

CJ.

Aboulhosn

et al. AHA/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2018; 2018: e81–e192.

Lehr

EJ.

Rodriguez

Chitwood

. Robotic cardiac surgery. Curr Opin Anaesthesiol 2011; 24: 77–85.doi:10.1097/ACO.0b013e328342052d

http://www.ncbi.nlm.nih.gov/pubmed/21157307

Z-S.

Dong

M-F.

Yin

Q-Y

et al. Totally thoracoscopic repair of ventricular septal defect: a short-term clinical observation on safety and feasibility. J Thorac Cardiovasc Surg 2011; 142: 850–854.doi:10.1016/j.jtcvs.2011.03.001

http://www.ncbi.nlm.nih.gov/pubmed/21458006

10.

Lin

Mahle

WT.

Frias

et al. Early and delayed atrioventricular conduction block after routine surgery for congenital heart disease. J Thorac Cardiovasc Surg 2010; 140: 158–160.doi:10.1016/j.jtcvs.2009.12.050

http://www.ncbi.nlm.nih.gov/pubmed/20381087

11.

Balkhy

HH.

Lewis

CTP.

Kitahara

. Robot-assisted aortic valve surgery: state of the art and challenges for the future. Int J Med Robot 2018; 14: e1913. doi:10.1002/rcs.1913

29700926

12.

Maciolek

Asfaw

ZE.

Krienbring

et al. Robotic endoscopic off-pump total pericardiectomy in constrictive pericarditis. Innovations 2016; 11: 134–137.doi:10.1097/imi.0000000000000258

http://www.ncbi.nlm.nih.gov/pubmed/27100164

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

7.56 MB

0.00 MB