Why the study?
Reports in the literature on side effects related to using an automated titanium suture fastening device in valve procedures are limited.
The use of automated suture fasteners like COR-KNOT in the aortic position can cause delayed, dynamic left main coronary artery ostium obstruction, which can be successfully treated with robotic CABG.
Caution for left main obstruction risk with automated fasteners; single case leaves open true incidence and safety profile.
In comparison to traditional, manual knot-tying, the use of an automated titanium suture fastening device has demonstrated a considerable reduction in cardiopulmonary bypass time, aortic cross-clamp time, and operative time in valve procedures. However, there aren't many reports in the literature on the side effects related to using such device. Here we present a case in which the automated titanium suture fastener resulted in left main coronary artery ostium obstruction following its use in the aortic position and subsequent treatment with robotic Coronary Artery Bypass Grafting (CABG).
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Edrees et al. (2023) studied this question.
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