Minimally invasive robotically assisted repair of atrial perforation from a pacemaker lead

Sara Hussain, Corey Adams, Alexis Mechulan, Peter Leong-Sit, Bob Kiaii

Research output: Contribution to journalArticlepeer-review

Abstract

Background: We present the first reported case of robotic-assisted right atrial perforation repair and pacemaker lead extraction. Methods: A 75-year-old female with symptomatic sinus node dysfunction underwent atrial single chamber permanent pacemaker insertion via a persistent left superior vena cava approach. At one week follow-up a chest radiograph and a computerized dynamic tomography demonstrated that the right atrial lead had perforated the right atrial free wall. The patient remained asymptomatic without signs of pericardial tamponade, however urgent repair was warranted. Results: Utilizing the da Vinci robotic system (Intuitive Surgical Inc., Sunnyvale, California, USA), the pacer lead perforation was visualized, the lead retracted, and the right atrium repaired. The existing atrial lead was repositioned in the right atrial appendage. Conclusion: The patient's postoperative convalescence was uneventful, and she was discharged home on the third post-operative day. This case demonstrates the increasing clinical utilization of robotic-assisted technology in minimally invasive cardiac surgery.

Original languageEnglish (US)
Pages (from-to)243-246
Number of pages4
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume8
Issue number2
DOIs
StatePublished - Jun 2012
Externally publishedYes

Keywords

  • Atrial perforation
  • Minimally invasive
  • Robotics

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

Fingerprint Dive into the research topics of 'Minimally invasive robotically assisted repair of atrial perforation from a pacemaker lead'. Together they form a unique fingerprint.

Cite this