ArticleJournal of chest surgery2022
Robot-Assisted Repair of Atrial Septal Defect: A Comparison of Beating and Non-Beating Heart Surgery.
Article in Journal of chest surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- A comparative study of surgical repair of large atrial septal defects in adults using inferior mini-sternotomy and right axillary vertical mini-incision.Journal of cardiothoracic surgery · 2026Article
- Safety and efficacy of Da Vinci robot-assisted atrial septal defect repair in patients with different body mass index levels: a single-center retrospective analysis.Journal of cardiothoracic surgery · 2026Article
- Preferred age for beating-heart atrial septal defect repair via right subaxillary mini-incision in pediatric patients.Journal of cardiothoracic surgery · 2026Article
- Thoracoscopic closure of atrial septal defect in perfused beating hearts.Surgical endoscopy · 2025Article
- Robotic repair of atrial septal defect: Pre-groove vertical right atriotomy approach.JTCVS techniques · 2024Article
- Review
- Robotic-Assisted Solutions for Invasive Cardiology, Cardiac Surgery and Routine On-Ward Tasks: A Narrative Review.Journal of cardiovascular development and disease · 2023Review
- A comparison of total thoracoscopic versus robotic approach for cardiac myxoma resection: a single-center retrospective study.Journal of robotic surgery · 2023Article
- Total Thoracoscopic versus Robotic Surgery for Repair of Atrial Septum Defect: A Propensity Matching Score Analysis.Emergency medicine international · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobot-assisted repair of atrial septal defect (ASD) can be performed under either beating-heart or non-beating-heart conditions. However, the risk of cerebral air embolism (i.e., stroke) is a concern in the beating-heart approach. This study aimed to compare the outcomes of beating- and non-beating-heart approaches in robot-assisted ASD repair.
methodsFrom 2010 to 2019, a total of 45 patients (mean age, 43.4±14.6 years; range, 19-79 years) underwent ASD repair using the da Vinci robotic surgical system. Twenty-seven of these cases were performed on a beating heart (beating-heart group, n=27) and the other cases were performed on an arrested or fibrillating heart (non-beating-heart group, n=18). Cardiopulmonary bypass (CPB) was achieved via cannulation of the femoral vessels and the right internal jugular vein in all patients.
resultsComplete ASD closure was verified using intraoperative transesophageal echocardiography in all patients. Conversion to open surgery was not performed in any cases, and there were no major complications. All patients recovered from anesthesia without any immediate postoperative neurologic symptoms. In a subgroup analysis of isolated ASD patch repair (beating-heart group: n=22 vs. non-beating-heart group: n=5), the operation time and CPB time were shorter in the beating-heart group (234±38 vs. 253±29 minutes, p=0.133 and 113±28 vs. 143±29 minutes, p=0.034, respectively).
conclusionRobot-assisted ASD repair can be safely performed with the beating-heart approach. No additional risk in terms of cerebral embolism was found in the beating-heart group.
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