How to make Robotic totally endoscopic MVP easier using double loop technique（Sheng Wang Department of Minimally Invasive Cardiac Surgery, Fuwai Central China Cardiovascular Hospital, China Contact information: munich2017-2018@hotmail.com）

Chief complaint:

Female, 66 years, with Intermittent chest tightness for over 2 months.

Past history & current condition:

Over 2 months ago, the patient developed chest tightness without obvious reason. On October 25, 2023, a cardiac ultrasound at local hospital revealed mitral valve prolapse with P3,C1. 

Other condition:

Diabetes Mellitus: 2-year history; Max blood glucose: 8mmol/L; Treatment: Oral hypoglycemic agents Cerebral Infarction: 2-year history (presented with headache and right limb movement disorder; no specific treatment; residual right limb movement limitation) Hypertension: 5-year history Allergen: Penicillin

Image findings:

Eco: Mitral valve posterior leaflet prolapse with P3,C1

Surgery Plan:

Robotic totally endoscopic mitral valve repair using double loop technique

Outcomes & Follow up:

No Regurgitation

Aortic cross-clamp time is 114 min Cardiopulmonary bypass time is 145 min None Postoperative blood transfusion First 24-hour drainage volume is 100 ml Duration of mechanical ventilation is 15 h ICU length of stay is 20 h Postoperative hospital stay time is 6 days