Korean J Anesthesiol.  2007 Mar;52(3):371-375. 10.4097/kjae.2007.52.3.371.

Anesthesia for Robotic Repair of the Atrial Septal Defect : A case report

• Choi YS
• Kwak YL
• Jeon DH
• Hong YW
• Park HK

• KMID: 1937608
• DOI: http://doi.org/10.4097/kjae.2007.52.3.371

Abstract

Minimally invasive cardiac surgery including robotic technique has become increasingly popular over the last decade. The advantages of such technique include improved cosmesis and healing, and reduced stress response, hospital and intensive care unit stay, and transfusion requirements. Robot-assisted cardiac surgery requires prolonged one-lung ventilation to optimize exposure. Remote-access perfusion requires appropriate positioning of multiple catheters to establish cardiopulmonary bypass. Carbon dioxide insufflation into the thorax can cause hemodynamic instability and carbon dioxide embolism. Limited exposure of the heart may pose difficulties with management of arrhythmia, hemostasis, myocardial protection and de-airing at the end of surgery. Limited access due to robot manipulator would make rapid intervention for cardiopulmonary resuscitation difficult or impossible. This case report describes robot-asssisted atrial septal defect repair and discusses the anesthetic issues associated with minimally invasive cardiac surgery including robotic cardiac surgery.

Keyword

anesthetic issues; atrial septal defect repair; robotic cardiac surgery

MeSH Terms

Anesthesia*
Arrhythmias, Cardiac
Carbon Dioxide
Cardiopulmonary Bypass
Cardiopulmonary Resuscitation
Catheters
Embolism
Heart
Heart Septal Defects, Atrial*
Hemodynamics
Hemostasis
Insufflation
Intensive Care Units
One-Lung Ventilation
Perfusion
Thoracic Surgery
Thorax
Carbon Dioxide