Skip to content
DraconiticResearch
Search Sources API
186,123 studies31 sourcesUpdated 52 min ago
Peer-reviewedCC BY-NC-NDJACC. Case reports

First-in-Human Totally Endoscopic Robotic Repair of Cor Triatriatum Sinistrum Under Ventricular Fibrillation.

  • Gianluigi Bisleri1
  • Daniel J Burns2
  • Beatrice Bacchi2
  • Kendra Derry3
  • Rami Abazid4
  • Magdi Hassanin4
  • Sami Alnasser5
5 affiliations
  1. 1Division of Cardiac Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada. Electronic address: [email protected].
  2. 2Division of Cardiac Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  3. 3Department of Anesthesiology and Pain Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  4. 4Cardiology Division, Sault Area Hospital, Northern Ontario School of Medicine University, Sault Ste Marie, Ontario, Canada.
  5. 5Division of Cardiology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Read full textPDFDOICite

Abstract

Background

Surgical correction of cor triatriatum sinistrum (CTS) has traditionally relied on conventional sternotomy with cardioplegic myocardial arrest. To date, there has been limited experience with totally endoscopic and robotic approaches, especially with ventricular fibrillation as an alternative to aortic cross-clamping and cardioplegic arrest. FIH: A 57-year-old man with dyspnea was found to have CTS without significant resting transmitral obstruction. Stress echocardiography and invasive hemodynamics revealed marked exercise-induced pulmonary hypertension. Given the abnormal stress physiology, surgical treatment through a totally endoscopic, robotic-assisted excision of the left intra-atrial membrane was performed using the Da Vinci Xi platform under controlled ventricular fibrillation induced by transvenous pacing. Complete resection was confirmed intraoperatively, and follow-up imaging demonstrated improved pulmonary pressures.Novelty

This case demonstrates the feasibility of a totally endoscopic, robotic-assisted strategy for CTS treatment performed under ventricular fibrillation.Take-home message

Correction of CTS is feasible using a totally endoscopic and robotic-assisted approach.

Related

  1. Three-dimensional totally endoscopic quadruple procedure in a high-risk patient who is a Jehovah's Witness: A comprehensive bloodless strategy
    JTCVS techniquesPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  2. Technical evolution of totally endoscopic coronary artery bypass on the da Vinci Xi platform: Lessons learned from the first 84 cases
    Gianluca Torregrossa, Massimo Baudo, Amanda Yakobitis +3
    JTCVS techniquesPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  3. Totally Thoracoscopic Atrial Fibrillation Ablation With the Gemini S Bipolar Clamp: A Single‐Center Descriptive Cohort Study of 1‐Year Rhythm, Safety, and Quality‐of‐Life Outcomes
    Michal Gruszczynski, Hector Rodriguez Cetina Biefer, Laura Rings +3
    Journal of arrhythmiaPeer-reviewedCC BY-NCFull textCardiovascular medicineEurope PMC
  4. First-in-human totally robotic left ventricular assist device implantation through a right minithoracotomy
    Yi-Chun Kuo, Chu-Lin Hsiao, Ling-Yi Wei +4
    JTCVS techniquesPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  5. Valve-in-valve transcatheter mitral valve replacement via totally endoscopic endoclamp-assisted approach after failed bioprosthetic mitral valve: a case report.
    J Nader, A Roussiaux, J E Ricci +1
    Journal of cardiothoracic surgeryPeer-reviewedCC BY-NC-NDFull textCardiovascular medicineEurope PMC

Cite

BibTeXRIS
BibTeX
@article{bisleri2026firstinhuman,
  title = {{First-in-Human Totally Endoscopic Robotic Repair of Cor Triatriatum Sinistrum Under Ventricular Fibrillation.}},
  author = {Gianluigi Bisleri and Daniel J Burns and Beatrice Bacchi and Kendra Derry and Rami Abazid and Magdi Hassanin and Sami Alnasser},
  journal = {JACC. Case reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.jaccas.2026.110550},
  url = {https://europepmc.org/article/MED/42847574},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - First-in-Human Totally Endoscopic Robotic Repair of Cor Triatriatum Sinistrum Under Ventricular Fibrillation.
AU  - Gianluigi Bisleri
AU  - Daniel J Burns
AU  - Beatrice Bacchi
AU  - Kendra Derry
AU  - Rami Abazid
AU  - Magdi Hassanin
AU  - Sami Alnasser
PY  - 2026
DA  - 2026/10/01
JO  - JACC. Case reports
DO  - 10.1016/j.jaccas.2026.110550
UR  - https://europepmc.org/article/MED/42847574
AB  - Background  Surgical correction of cor triatriatum sinistrum (CTS) has traditionally relied on conventional sternotomy with cardioplegic myocardial arrest. To date, there has been limited experience with totally endoscopic and robotic approaches, especially with ventricular fibrillation as an alternative to aortic cross-clamping and cardioplegic arrest. FIH: A 57-year-old man with dyspnea was found to have CTS without significant resting transmitral obstruction. Stress echocardiography and invasive hemodynamics revealed marked exercise-induced pulmonary hypertension. Given the abnormal stress physiology, surgical treatment through a totally endoscopic, robotic-assisted excision of the left intra-atrial membrane was performed using the Da Vinci Xi platform under controlled ventricular fibrillation induced by transvenous pacing. Complete resection was confirmed intraoperatively, and follow-up imaging demonstrated improved pulmonary pressures.Novelty  This case demonstrates the feasibility of a totally endoscopic, robotic-assisted strategy for CTS treatment performed under ventricular fibrillation.Take-home message  Correction of CTS is feasible using a totally endoscopic and robotic-assisted approach.
SN  - 2666-0849
ER  -