Outcomes of robotic and endoscopic combined aortic and mitral valve surgery: experience from National Taiwan University Hospital
Journal
Annals of Cardiothoracic Surgery
Journal Volume
14
Journal Issue
3
Start Page
210
End Page
217
ISSN
2225-319X
2304-1021
Date Issued
2025-05
Abstract
Background: Minimally invasive approaches in cardiac surgery have transformed the field by reducing surgical trauma and improving recovery outcomes. The lateral approach, using robotic and endoscopic technologies, offers superior visualization for complex procedures, such as combined aortic and mitral valve surgery. Addressing concurrent pathologies in the aortic and mitral valves increases procedural complexity, requiring precise techniques and optimal patient selection.
Methods: This retrospective, single-center study evaluated adult patients who underwent robotic or endoscopic combined aortic and mitral valve surgery between January 2015 and November 2024. Data on patient demographics, perioperative details, and postoperative outcomes including complications, mortality rates, and improvements in New York Heart Association (NYHA) functional status were analyzed.
Results: A total of 67 patients were included, with 8 undergoing robotic and 59 endoscopic procedures. No mortality or conversion to open surgery was observed. Postoperative complications were minimal, with a low infection rate of 1.5% and an atrial fibrillation rate of 26.8%. Over 85% of patients experienced significant improvement in NYHA functional status.
Conclusions: Robotic and endoscopic combined aortic and mitral valve surgery using the lateral approach is safe and effective, yielding excellent outcomes in a well-selected patient population.
Subjects
Robotic valve surgery
combined aortic and mitral valve surgery
endoscopic cardiac surgery
lateral approach
minimally invasive cardiac surgery
SDGs
Publisher
AME Publishing Company
Type
journal article