{"title":"Robotic mitral valve repair: pericardiotomy and aortic cross-clamp application.","authors":"Paul Cullen, Tarek Malas, Marc Gillinov","doi":"10.1510/mmcts.2025.098","DOIUrl":null,"url":null,"abstract":"<p><p>Robotic mitral valve surgery requires pericardiotomy via the right chest. Opening more anterior than traditionally described enhances visualization of the right ventricle, obviates the need for anterior pericardial stays, and keeps the lung out of the way posteriorly. We prefer to utilize an external cross-clamp for aortic occlusion due to its simplicity and reproducibility and now use a detachable clamp, which avoids potential conflicts with robotic instruments. Herein we describe our current technique for these important components of robotic valve surgery.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1510/mmcts.2025.098","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Robotic mitral valve surgery requires pericardiotomy via the right chest. Opening more anterior than traditionally described enhances visualization of the right ventricle, obviates the need for anterior pericardial stays, and keeps the lung out of the way posteriorly. We prefer to utilize an external cross-clamp for aortic occlusion due to its simplicity and reproducibility and now use a detachable clamp, which avoids potential conflicts with robotic instruments. Herein we describe our current technique for these important components of robotic valve surgery.
期刊介绍:
The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.