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 such as angina that has not improved with medications
- 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 , which is an irregular heart rhythm in the upper chambers of the heart.
|Pacemaker leads implanted in heart to maintain normal rhythm.|
|Copyright © Nucleus Medical Media, Inc.|
- 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 nearby organs or structures in the chest
- Blood clots
- Anesthesia-related problems
- Prior heart attack or heart surgery
- Increased age
- Excessive alcohol intake
- Uncontrolled thyroid disease
What to Expect
Prior to Procedure
- Physical exam
- Blood and urine tests
- Electrocardiogram (ECG, EKG)
- Coronary angiogram
- Chest x-ray
- CT scan
- MRI scan
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, such as:
- Anti-inflammatory drugs such as ibuprofen
- Blood thinners
- Anti-platelet medications
- 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 medication. 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 such as driving and 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
- Rapid weight gain
- Pain and/or swelling in your feet, calves, or legs
- Headache, feeling faint or lightheaded
- Other worrisome symptoms
American Heart Association http://www.heart.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
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 July 25, 2013.
Atrial septic defect repair. Inova Health System website. Available at: http://www.inova.org/healthcare-services/pediatrics/types-of-services/pediatric-cardiovascular-program/procedures/atrial-septic-defect-repair.jsp . Accessed July 25, 2013.
Mitral valve repair. Society of Thoracic Surgeons website. Available at: http://www.sts.org/sections/patientinformation/valvesurgery/mitralvalverepair/ . Accessed July 25, 2013.
Robot-assisted heart surgery: how it works. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/heart/services/surgery/robotically-assisted-heart-surgery.aspx . Accessed July 25, 2013.
- Reviewer: Marcin Chwistek, MD; Michael Woods, MD
- Review Date: 07/2013 -
- Update Date: 05/11/2013 -