Onan Burak, Kadirogullari Ersin, Guler Salih, Kahraman Zeynep
Departments of Cardiovascular Surgery, Istanbul SBU Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey.
Istanbul Mehmet Akif Ersoy GKDC Hastanesi, Kalp Damar Cerrahisi Kliniği, Turgut Ozal Bulvari, No: 11, Kucukcekmece, 34303, Istanbul, Turkey.
J Robot Surg. 2018 Mar;12(1):185-188. doi: 10.1007/s11701-017-0709-x. Epub 2017 May 3.
Complications after percutaneous atrial septal defect closure such as residual shunting or device-related events are generally treated using conventional sternotomy or thoracotomy incisions. In these cases, minimally invasive approaches including mini-sternotomy, mini-thoracotomy or endoscopic techniques can also be used in the management of complications, residual defects and concomitant procedures. However, robotic surgery is a reasonable alternative for removal of septal occluder devices and concomitant repair procedures to prevent cardiopulmonary morbidities. Herein, we report an adult, who underwent a totally endoscopic robotic removal of septal occluder device, closure of septal defect with autologous pericardial patch and tricuspid valve annuloplasty through a right atriotomy approach.
经皮房间隔缺损封堵术后的并发症，如残余分流或与器械相关的事件，通常采用传统的胸骨切开术或开胸手术切口进行治疗。在这些情况下，包括微创胸骨切开术、微创开胸术或内镜技术在内的微创方法也可用于并发症、残余缺损和同期手术的处理。然而，机器人手术是取出房间隔封堵器并进行同期修复手术以预防心肺并发症的合理替代方法。在此，我们报告一例成年患者，其通过右心房切开术入路，接受了完全内镜下机器人辅助取出房间隔封堵器、用自体心包补片关闭房间隔缺损以及三尖瓣环成形术。
