Feras H Khaliel, Muhammad I Haq, Ahmed K Alsulbud, Yasmin A Altwaijri, Ali B Alenazy, Ahmed R Almustafa, Adel A Aly, Mandeep R Mehra
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引用次数: 0
Abstract
Importance: Traditionally, heart transplantation surgery requires a median sternotomy due to the perceived complexity of a large organ replacement. Whether an alternative minimally invasive approach to perform a successful heart transplant can be accomplished remains uncertain.
Objective: To develop a safe and effective technique for totally robotic heart transplantation DESIGN: Using a multidisciplinary team, technical timed training using the robot-assisted approach was accomplished on multiple cadavers. Importantly, practice to limit the donor organ ischemic time to ensure patient safety was deemed essential and once readiness was achieved, an in-vivo operation was undertaken.
Setting: Academic cardiac surgical unit of King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia).
Participant: A 16-year-old boy with refractory biventricular heart failure caused by a non-ischemic dilated cardiomyopathy MAIN OUTCOME: A successful totally robotic heart transplant, with a short ischemic time, mechanical ventilation <24 hours, rapid patient mobilization and reduced post operative pain and hospital duration of stay.
期刊介绍:
The Journal of Heart and Lung Transplantation, the official publication of the International Society for Heart and Lung Transplantation, brings readers essential scholarly and timely information in the field of cardio-pulmonary transplantation, mechanical and biological support of the failing heart, advanced lung disease (including pulmonary vascular disease) and cell replacement therapy. Importantly, the journal also serves as a medium of communication of pre-clinical sciences in all these rapidly expanding areas.