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      Robotic excision of aortic valve papillary fibroelastoma and concomitant maze procedure

      Global Cardiology Science & Practice

      Bloomsbury Qatar Foundation Journals

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          Abstract

          Abstract: Cardiothoracic surgeons have utilized the surgical robot to provide a minimally invasive approach to a number of intracardiac operations, including tumor resection, valve repair, and ablation of atrial arrhythmia. We report the case of a 58 year-old woman who was found to have a mobile mass on her aortic valve during evaluation of atrial fibrillation. Both of these conditions were addressed when she underwent a combined robotic biatrial Maze procedure and excision of the mass, which proved to be a papillary fibroelastoma of the aortic valve.

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          Most cited references 11

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          The first Maze procedure.

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            The Maze procedure for the treatment of atrial fibrillation: a minimally invasive approach.

             Niv Ad,  James L Cox (2015)
            The standard Maze procedure has proven to be extremely effective in curing atrial fibrillation in thousands of patients worldwide. Until now it has required a median sternotomy and cardiopulmonary bypass. In order to simplify the standard approach, a minimally invasive technique was developed. We have recently applied this minimally invasive Maze procedure in 72 patients. The technique is dependent on the use of cryosurgery and the total number of atriotomies has been decreased from twelve to four. In addition to performing the Maze procedure, 32% of patients have had concomitant surgery via the minimally invasive approach including mitral valve repair/replacement and tricuspid valve repair. Perioperative morbidity is improved following the minimally invasive approach in comparison to the standard approach with the incidence of temporary perioperative arrhythmias being decreased by 50%. The long-term recurrence of atrial fibrillation is 2.4% following the minimally invasive Maze procedure and 2.2% following the standard Maze procedure. The incidence of pacemaker requirements following the standard Maze procedure is 20% but only 6% following the minimally invasive Maze procedure. Both right atrial and left atrial transport function have been documented in 100% of patients following the minimally invasive Maze procedure. We believe that the minimally invasive Maze procedure is a substantial improvement over the standard approach in terms of patient morbidity while preserving the effectiveness of the Maze procedure in curing atrial fibrillation.
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              Papillary fibroelastomas

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                Author and article information

                Journal
                Glob Cardiol Sci Pract
                Glob Cardiol Sci Pract
                GCSP
                Global Cardiology Science & Practice
                Bloomsbury Qatar Foundation Journals (Qatar )
                2305-7823
                2012
                1 November 2013
                : 2012
                : 2
                : 93-100
                Affiliations
                Frederick Meijer Heart and Vascular Institute at Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA
                Author notes
                Article
                gcsp.2012.27
                10.5339/gcsp.2012.27
                3963717
                © 2012 Murphy, licensee Bloomsbury Qatar Foundation Journals.

                This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 3.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.

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                Images in Cardiology

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