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J Thorac Cardiovasc Surg 2005;129:442-443
© 2005 The American Association for Thoracic Surgery

Brief Communications

Robotically assisted repair of sinus venosus defect

^a Sections of Cardiothoracic Surgery, Congenital and Pediatric Cardiac Surgery, The University of Chicago Children's Hospital, Chicago, Ill
^b Section of Pediatric Cardiology, The University of Chicago Children's Hospital, Chicago, Ill

Received for publication May 10, 2004; accepted for publication May 17, 2004.

^* Address for reprints: Emile A. Bacha, MD, Congenital and Pediatric Cardiac Surgery, The University of Chicago Children's Hospital, 5841 S Maryland Ave, MC 5040, Chicago, IL 60637 (E-mail: ebacha@surgery.bsd.uchicago.edu).

The first 20% of the full text of this article appears below.

Computer-enhanced telemanipulation systems, also called robotic surgery, have recently emerged as a less-invasive option for a variety of cardiac surgical procedures.¹ The advantages of the computerized robotic enhancement systems include ergonometric movements, 3-dimensional optics with tremor filtration and high-resolution video magnification, and wrist-like articulations at the end of each instrument, providing intracardiac 7 degrees of freedom available at the tip of the instrument. This report describes the first documented use of a robotic surgical system for repair of a sinus venosus defect.

	Clinical summary

 
A 40-year-old man with a long smoking history presented with increasing fatigue. A sinus venosus defect was diagnosed. Cardiac catheterization showed a Qp/Qs of 2.4. with normal pulmonary artery pressures. The technique developed by Kypson, Nifong, and Chitwood¹ was used. In the operating room, a double-lumen endotracheal tube was inserted, and the patient was positioned supine, with his right chest elevated at 30° and the right arm tucked on the side. After heparinization, the right femoral artery and vein were cannulated, and the inferior vena cava cannula was positioned below the diaphragm with transesophageal echocardiographic . . . [Full Text of this Article]