Robot-Assisted Cardiac Procedures
Reasons for Procedure
mitral valve repair
may be used to treat:
- Stenosis (narrowing) of the mitral valve
- Regurgitation (leakage) of the mitral valve
coronary artery bypass grafting
may be used to treat:
- Blockages in the heart’s arteries
- Severe chest pain ( angina ) that has not improved with medicines
- Robot-assisted atrial septal defect repair may be used to treat a hole between the upper chambers of the heart that does not close properly during fetal development.
- Robot-assisted biventricular pacemaker lead placement may be used to treat heart failure due to atrial fibrillation (irregular heart rhythm in the upper chambers of the heart).
|Pacemaker leads implanted in heart to maintain normal rhythm.|
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- Increased range of motion with the robotic arms
- Ability to filter out human hand tremor and translate the doctor’s larger hand movements into smaller ones
- Reduced trauma to the body
- Shorter hospital stay
- Faster recovery
- Damage to neighboring organs or structures in the chest
- Blood clots
- Anesthesia-related problems
What to Expect
Prior to Procedure
- Physical exam
- Blood and urine tests
- Electrocardiogram (ECG, EKG) —a test that records the electrical currents passing through the heart muscle
- Coronary angiogram —a test to determine the extent and location of blockages of blood vessels supplying the heart muscle
- Chest x-ray —a test that uses radiation to take a picture of structures inside the chest
- Ultrasound —a test that uses sound waves to visualize structures inside the chest
- CT scan —a type of x-ray that uses a computer to create images of structures inside the chest
- MRI scan —a test that uses magnetic waves to make pictures of structures inside the chest
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, such as:
- Anti-inflammatory drugs (eg, aspirin )
- Blood thinners, like clopidogrel (Plavix) or warfarin (Coumadin)
- Take antibiotics if instructed.
- Follow a special diet if instructed.
- Shower the night before using antibacterial soap if instructed.
- Arrange for someone to drive you home from the hospital. Also, have someone to help you at home.
- Eat a light meal the night before. Do not eat or drink anything after midnight.
- General anesthesia —blocks pain and keeps you asleep through the surgery
- Local anesthesia with sedation—just the area that is being operated on is numbed, given as an injection
Description of the Procedure
Immediately After Procedure
- Moved to the intensive care unit (ICU)
- Closely monitored
- Encouraged to sit up and move around soon after surgery
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Follow your doctor's guidelines on taking medicine. You may need to take antibiotics.
- Do deep breathing and coughing exercises.
- Follow a special diet.
- Wash the incisions with mild soap and water.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Limit certain activities (eg, driving, strenuous activity).
- Enroll in a cardiac rehabilitation program.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from an incision site
- Cough, shortness of breath, or chest pain
- Difficulty urinating, such as pain, burning, urgency, frequency, or bleeding
- Severe nausea or vomiting
- Rapid weight gain
- Pain and/or swelling in your feet, calves, or legs
- Headache, feeling faint or dizzy
- Other worrisome symptoms
American Heart Association http://www.americanheart.org/
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/
Canadian Cardiovascular Society http://www.ccs.ca/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html/
About minimally invasive and robotic cardiac surgery. Columbia University Medical Center, Department of Surgery website. Available at: http://www.columbiasurgery.org/pat/mirobotic/procedures.html . Accessed September 14, 2009.
Atrial septic defect repair. Inova Health System website. Available at: http://inova.org/inovapublic.srt/heart/pediatric%5Fservices/cardiac%5Fsurgery/atrial%5Fseptal%5Fdefect.html . Accessed July 27, 2006.
Cardiac applications. Intuitive Surgical website. Available at: http://www.intuitivesurgical.com/patientresources/conditions/cardiac/index.aspx . Accessed September 14, 2009.
Computer-assisted surgery: an update. Food and Drug Administration website. Available at: http://www.fda.gov/fdac/features/2005/405%5Fcomputer.html . Accessed June 20, 2006.
Mitral valve repair. Society of Thoracic Surgeons website. Available at: http://www.sts.org/sections/patientinformation/valvesurgery/mitralvalverepair/ . Accessed July 27, 2006.
Robot-assisted heart surgery: what you need to know. Cleveland Clinic website. Available at: http://www.clevelandclinic.org/health/health-info/docs/3000/3044.asp?index=10728 . Accessed July 27, 2006.
Robots lend a helping hand to surgeons. Food and Drug Administration website. Available at: http://www.fda.gov/FDAC/features/2002/302%5Fbots.html . Accessed June 20, 2006.
- Reviewer: Marcin Chwistek, MD
- Review Date: 11/2012 -
- Update Date: 11/30/2012 -