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J Thorac Cardiovasc Surg 2006;131:468-469
© 2006 The American Association for Thoracic Surgery

Brief Communication

Robotic endoscopic excision of accessory mitral leaflet

Douglas A. Murphy, MD a , * , John J. Byrne, MD b , Hector A. Malave, MD c

a Department of Cardiothoracic Surgery, Saint Joseph's Hospital of Atlanta, Atlanta, Ga
b Department of Anesthesiology, Saint Joseph's Hospital of Atlanta, Atlanta, Ga
c Department of Cardiology, Saint Joseph's Hospital of Atlanta, Atlanta, Ga

Received for publication August 25, 2005; accepted for publication August 31, 2005.

* Address for reprints: Douglas A. Murphy, MD, Department of Cardiothoracic Surgery, Saint Joseph's Hospital of Atlanta, 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 (Email: dmurphy407@aol.com).

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

Accessory mitral valve is an uncommon cause of left ventricular outflow tract obstruction in the adult patient. 1 Go Excisional therapy has traditionally been performed through the proximal aorta by using a median sternotomy. We report the excision of an obstructive accessory mitral leaflet through the left atrium using a right chest endoscopic approach with the da Vinci Robotic System (Intuitive Surgical, Sunnyvale, Calif).

Clinical Summary

A 43-year-old man presented with dyspnea on exertion of 1 years' duration. Examination revealed a body mass index of 36.7 kg/m2 and a systolic cardiac murmur. Transesophageal echocardiography demonstrated a membranous structure in the left ventricular outflow tract with a parachute action during systole. Chordal attachment suggested this membranous structure was an accessory mitral leaflet. Peak systolic gradient across the membrane . . . [Full Text of this Article]




This article has been cited by other articles:


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 Ann. Thorac. Surg.Home page
E. Rodriguez, L. W. Nifong, M. W.A. Chu, W. Wood, P. W. Vos, and W. R. Chitwood
Robotic Mitral Valve Repair for Anterior Leaflet and Bileaflet Prolapse
Ann. Thorac. Surg., February 1, 2008; 85(2): 438 - 444.
[Abstract] [Full Text] [PDF]


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