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Robotic-Enhanced Totally Endoscopic Mitral Valve Repair and Ablative Therapy  Belhhan Akpinar, MD, Mustafa Guden, MD, Ertan Sagbas, MD, Ilhan Sanisoglu,

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Presentation on theme: "Robotic-Enhanced Totally Endoscopic Mitral Valve Repair and Ablative Therapy  Belhhan Akpinar, MD, Mustafa Guden, MD, Ertan Sagbas, MD, Ilhan Sanisoglu,"— Presentation transcript:

1 Robotic-Enhanced Totally Endoscopic Mitral Valve Repair and Ablative Therapy 
Belhhan Akpinar, MD, Mustafa Guden, MD, Ertan Sagbas, MD, Ilhan Sanisoglu, MD, Baris Caynak, MD, Zehra Bayramoglu, MD  The Annals of Thoracic Surgery  Volume 81, Issue 3, Pages (March 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The placement of the ports for robotic mitral valve repair and radiofrequency ablation is shown. The patient-side surgeon assists the operation through the service port. (A) Left robotic arm port. (B) Camera port. (C) Right robotic arm port. (D) Left atrial sump and CO2 port. (E) Service port. (F) Transthoracic clamp. (G) Cardioplegia line. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The introduction of the ablation pen through the service port is shown. (A) Ablation pen. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Interatrial view of the ablation process through the robotic camera is shown. (A) Ablation pen. (B) Right robotic arm. (MVA = mitral anterior leaflet; MVP = mitral posterior leaflet.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 The blue lines indicate the left atrial ablation pattern. (a) Ablation around the left atrial appendage. (b) Left atrial isthmus ablation. (LPVs = left pulmonary veins; MV = mitral valve; p2 — p3 = mitral valve posterior leaflet second and third segments; RPVs = right pulmonary veins.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 (A) The mitral valve anterior leaflet repair was evaluated both by intraoperative saline injection through (B) a nelaton tube and perioperative transesophageal echocardiography. (C) The Teflon felts used during Reed plasty. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 The completed mitral valve repair is shown. (A) The mitral valve anterior leaflet. (B) The right robotic arm. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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