Previous right thoracotomy Severe liver dysfunction Bleeding disorders Pulmonary hypertension (Fixed PAS >60 Torr) Significant aortic valve disease Coronary artery disease requiring surgery Recent myocardial ischemia (<30 days) Recent stroke…
Fig. 4.1 3D image of a normal mitral valve seen en face from the classic surgeon’s view. The image was acquired with the full volume mode. The aortic valve (AV)…
Fig. 21.1 Patient position: the patient is placed on the operating table with the right side shifted to the edge. The right arm is placed below the operating table and…
Fig. 27.1 (a) Left atriotomy: using robotic curved scissors and Rosano forceps, the inter-atrial groove grove must be developed medial to right pulmonary veins. One has to be certain that…
Fig. 23.1 Patient positioning with “roll” elevations: the patient is placed on the operating table with the neck and lower legs flexed slightly. Towel ‘rolls’ are placed under the neck,…
Fig. 18.1 Double orifice repair: the edge-to-edge technique, shown here, is used to repair large segments of redundant mitral leaflet. This is especially applicable to central mitral valve leaks Fig….
(1) Department of Surgery, Columbia University College of Physicians and Surgeons, The Valley Columbia Heart Center, The Valley Hospital, Ridgewood, NJ, USA (2) Division of Pediatric Cardiothoracic Surgery, University of…
Fig. 3.1 Patient positioned for robotic-assisted cardiac surgery Venous and Arterial Cannulation As for standard cardiac surgery patients, a central venous line is placed for fluid and medication administration and…
Fig. 11.1 Hybrid operating room: this is a modern hybrid operating room with advanced robotic arm imaging capabilities—(Bon Secours St. Mary’s Hospital, Richmond, Virginia) (Photo by Doug Buerlein Photography; used…
Fig. 31.1 A TEE study shows outflow obstruction because of ventricular septal hypertrophy combined with systolic anterior motion of the mitral valve anterior leaflet (SAM) Operative Technique After the left…
