{"id":8327,"date":"2025-08-16T00:39:49","date_gmt":"2025-08-15T21:39:49","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=8327"},"modified":"2025-08-16T00:39:49","modified_gmt":"2025-08-15T21:39:49","slug":"global-advances-in-robotic-heart-surgery-valves-coronary-bypass-and-transplantation-up-to-2025","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/global-advances-in-robotic-heart-surgery-valves-coronary-bypass-and-transplantation-up-to-2025\/","title":{"rendered":"Global Advances in Robotic Heart Surgery: Valves, Coronary Bypass, and Transplantation (Up to 2025)"},"content":{"rendered":"
Global Advances in Robotic Heart Surgery: Valves, Coronary Bypass, and Transplantation (Up to 2025)<\/div>\n
<\/div>\n
This review highlights the most significant global developments in robotic cardiac surgery, focusing on valve interventions, coronary artery revascularization, heart transplantation, and mechanical circulatory support. The summary is based on multiple peer-reviewed sources, with primary reference to MDPI (Micromachines, 2025) and supplemented by data from 2022\u20132025 reports and studies.<\/div>\n
<\/div>\n
1. Valve Surgery<\/div>\n
<\/div>\n
Robotic surgery is now a leading approach for heart valve interventions, offering minimal invasion, faster recovery, and durable results.<\/div>\n
\u2022 Mitral Valve: The most common valve treated with robotic surgery worldwide. Surgeons perform repairs and replacements using high-definition 3D vision and precision instruments.<\/span><\/div>\n
\u2022 Aortic Valve: Adopted in select centers using hybrid robotic\u2013endoscopic methods to reduce surgical trauma.<\/span><\/div>\n
\u2022 Tricuspid Valve: Robotic repair or replacement for severe regurgitation, often combined with mitral surgery, enabling accurate annuloplasty and leaflet reconstruction.<\/span><\/div>\n
\u2022 Multi-Valve Surgery: Complex combinations (mitral + aortic + tricuspid) completed in a single minimally invasive procedure.<\/span><\/div>\n
<\/div>\n
2. Coronary Artery Revascularization<\/div>\n
<\/div>\n
Robotic systems have advanced coronary bypass surgery, maintaining high graft quality with smaller incisions.<\/div>\n
\u2022 RA-MIDCAB: Robotic harvesting of the left internal mammary artery (LIMA) with mini-thoracotomy anastomosis.<\/span><\/div>\n
\u2022 TECAB: Entirely endoscopic coronary artery bypass without sternotomy, performed in specialized centers.<\/span><\/div>\n
\u2022 Hybrid Coronary Revascularization: Robotic LIMA-LAD bypass combined with PCI for other lesions, tailored to each patient.<\/span><\/div>\n
\u2022 Approach: LIMA-LAD graft performed on day 0 under aspirin only (no P2Y\u2081\u2082 inhibitors to reduce bleeding). PCI with stent placement is done 3\u20135 days later after initial wound healing, followed by dual antiplatelet therapy (DAPT) according to current guidelines.<\/span><\/div>\n
<\/div>\n
3. Heart Transplantation<\/div>\n
\u2022 First Fully Robotic Heart Transplant: Achieved at King Faisal Specialist Hospital and Research Center (KFSHRC), Riyadh, in 2024.<\/span><\/div>\n
\u2022 Benefits: Minimal surgical trauma, reduced infection risk, and faster recovery compared to conventional sternotomy.<\/span><\/div>\n
<\/div>\n
4. Mechanical Circulatory Support (MCS)<\/div>\n
\u2022 LVAD: First robotic-assisted HeartMate 3 implant at KFSHRC in January 2025.<\/span><\/div>\n
\u2022 BiVAD: World\u2019s first robotic-assisted biventricular assist device implantation in July 2025 at KFSHRC, using two HeartMate 3 devices for a patient with end-stage heart failure, non-eligible for transplant.<\/span><\/div>\n
\u2022 Advantages: Lower infection risk, faster mobilization, and minimally invasive access.<\/span><\/div>\n
<\/div>\n
KFSHRC Robotic Milestones:<\/div>\n
1. 2024 \u2013 First fully robotic heart transplant.<\/span><\/div>\n
2. Jan 2025 \u2013 First robotic-assisted LVAD implant.<\/span><\/div>\n
3. July 2025 \u2013 First robotic-assisted BiVAD implant.<\/span><\/div>\n
<\/div>\n
References:<\/div>\n
1. Michael Walter, Cardiovascular Business, July 17, 2025.<\/span><\/div>\n
2. Folliguet T., Ann Cardiothorac Surg, 2022.<\/span><\/div>\n
3. Bonatti J., J Thorac Dis, 2022.<\/span><\/div>\n
4. Raffa G., MDPI Micromachines, 2024.<\/span><\/div>\n
5. Serruys P., Curr Cardiol Rep, 2023.<\/span><\/div>\n","protected":false},"excerpt":{"rendered":"

Global Advances in Robotic Heart Surgery: Valves, Coronary Bypass, and Transplantation (Up to 2025) This review highlights the most significant global developments in robotic cardiac surgery, focusing on valve interventions, coronary artery revascularization, heart transplantation, and mechanical circulatory support. The summary is based on multiple peer-reviewed sources, with primary reference to MDPI (Micromachines, 2025) and […]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8327","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8327","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=8327"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8327\/revisions"}],"predecessor-version":[{"id":8328,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8327\/revisions\/8328"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=8327"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=8327"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=8327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}