Why the study?
Left ventriculotomy for thrombus removal is typically associated with high rates of cardiac arrhythmias and reduced ejection fraction.
Robotic surgery via left atriotomy can be a feasible approach for the removal of a left ventricular apical thrombus to avoid ventriculotomy-related complications.
May offer a minimally invasive alternative for LV apical thrombus removal; hypothesis-generating and requires prospective validation.
Left ventriculotomy for thrombus removal is usually associated with a high incidence of cardiac arrhythmias and decreased ejection fraction. A 51-year-old male patient was admitted to the emergency department with loss of consciousness. Transthoracic echocardiography revealed a 20 × 24-mm left ventricular apical nonpedunculated thrombus with normal ejection fraction. A persistent thrombus was shown on magnetic resonance imaging despite anticoagulation therapy. Robotic surgery was planned to avoid possible ventriculotomy-related complications, considering the preoperative neurological condition of the patient. The thrombus was completely removed surgically through left atriotomy using the DaVinci robotic system. In conclusion, robotic surgery can be used in the surgical treatment of left ventriculotomy thrombus in selected patients.
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Bolcal et al. (2019) studied this question.
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