ISMICS 2025 Annual Meeting

Objective

Robotic mitral valve surgery aims to reduce surgical impact on patients while preserving safety and surgical outcome.

To ensure optimal outcomes and maintain efficacy for a safe implementation of this program, the entire surgical team has to master the mandatory learning curve.

Methods

A dedicated robotic mitral repair team in a high-volume mitral repair center with no prior experience with port-access mitral valve repair, collectively followed an extensive training program. After training and performing a prospective risk analysis in order to identify possible risks in the initiation phase, the first 9 procedures were accompanied by an experienced proctor. A total of 82 patients underwent robotic mitral valve surgery.

Results

•Initial repair rate was 100% with no mortality, postoperative stroke or myocardial infarction.

•Comparing the first and last 20 cases, there was a decrease in:

Cardiopulmonary bypass time (299 min. vs. 204 min.)

Aortic cross clamp time (184 min. vs. 122 min.)

Total operating time (415 min. vs. 270 min.)

• At mid-term follow-up, repair rates were excellent (MR < 1+ 95%, MR < 2+ 98%)

Conclusions

A robotic mitral valve repair program can be safely implemented in a high-volume mitral valve repair center with no port-access experience showing with excellent short- and mid-term results

ISMICS 2025 Annual Meeting

Starting A Robotic Mitral Valve Surgery Program: Focus On Safety And Learning Curve

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