Key result
Simultaneous robotic-assisted mitral valve repair and percutaneous coronary intervention in a hybrid operating theater was successfully performed in a 58-year-old man, who remained asymptomatic at 1 year.
Why the study?
Does simultaneous robotic-assisted mitral valve repair and percutaneous coronary intervention improve symptoms in a patient with severe mitral regurgitation and right coronary artery stenosis?
Case Report (n=1)
Does simultaneous robotic-assisted mitral valve repair and percutaneous coronary intervention improve symptoms in a patient with severe mitral regurgitation and right coronary artery stenosis?
Simultaneous robotic-assisted mitral valve repair and percutaneous coronary intervention in a hybrid operating theater is feasible and can result in excellent clinical outcomes with early return to activity.
Should not yet change practice for combined disease; leaves open comparative trials of hybrid robotic approaches.
We present a case report of a robotic-assisted mitral valve repair with simultaneous percutaneous coronary intervention. A 58-year-old man presented with New York Heart Association class III symptoms from severe mitral regurgitation and significant stenosis of the right coronary artery. In a hybrid operating theater, the patient underwent placement of a bare metal stent in the right coronary artery followed immediately by robotic-assisted mitral valve repair. Both procedures were successful and occurred in a timely fashion. The patient experienced no immediate postoperative complications and was discharged home on postoperative day 5. At 2-week follow-up, he had returned to his normal activities of daily living and at 1 year remained asymptomatic. This case report demonstrates the benefits of minimally invasive robotic mitral valve repair in allowing for successful repair, early postoperative return to activity, minimal incision pain, and high patient satisfaction. It further highlights the potential benefit of a hybrid operating theater in allowing surgical and percutaneous coronary intervention procedures to be delivered in a safe and efficient manner.
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Adams et al. (2010) conducted a case report in Severe mitral regurgitation and significant stenosis of the right coronary artery (n=1). Simultaneous robotic-assisted mitral valve repair and percutaneous coronary intervention was evaluated on Procedural success and postoperative complications. Simultaneous robotic-assisted mitral valve repair and percutaneous coronary intervention in a hybrid operating theater was successfully performed in a 58-year-old man, who remained asymptomatic at 1 year.
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