Cardiothoracic Surgery: Minimally Invasive and Robotic Cardiac Surgery
When diagnosed with a heart condition requiring surgery, it’s important to understand
Surgeons at the UF Health Cardiovascular Center work in close collaboration with
a team of cardiology specialists to determine the procedures best suited for your
specific condition. More frequently the best option can be minimally invasive surgery.
Since 1999, UF Health Jacksonville has pioneered minimally invasive surgery techniques,
many of which have become the standard of care for other hospitals. Ours is the
oldest and most advanced minimally invasive cardiac surgery center in the region
and provides more options for minimally invasive and robotically assisted surgeries
than anywhere else in Northeast Florida and Southeast Georgia. In fact, many minimally
invasive and robotic surgery techniques we perform at UF Health Jacksonville are
not offered anywhere else in the region.
Who Qualifies for Minimally Invasive and Robotic Cardiac Surgery?
Most patients who are candidates for surgery are experiencing valvular heart disease
that has damaged one of three heart valves causing them to be too hard and narrow
to fully open (stenotic), or unable to completely close. These are:
- Mitral and tricuspid – These two valves regulate blood flow between the atria (upper
chambers of the heart that collect and eject blood) and the ventricles (the lower
chambers of the heart that collect and eject blood)
- Aortic – This valve controls blood flow between the heart and the aorta (the main
artery of the body)
Valvular heart disease most often affects the mitral valve or the aortic valve and
surgery is required when other treatment options either fail or are not appropriate.
You may be a candidate for minimally invasive and robotic cardiac surgery if:
- You have aortic regurgitation, meaning that your aortic valve does not close all
the way so blood leaks back into your heart.
- You have aortic stenosis, meaning that your aortic valve does not open fully so
blood flow out of the heart is blocked.
How Minimally Invasive and Robotic Cardiac Surgery Works
When surgery is necessary on the aortic valve (the valve that controls blood flow
between the heart and the aorta artery), your surgeon makes a small vertical incision
in the upper breastbone (mini-sternotomy) or in between the second and third ribs
to the right of the breastbone (parasternal incision) and insert a tiny camera and
robotic instruments for surgery.
The outcomes of the two different approaches are the same. During the procedure,
your surgeon will generally connect you to a heart-lung machine through blood vessels
in the groin, so there will be a small incision there as well.
When surgery is necessary on the mitral or tricuspid valves (the valves that control
blood flow between the upper and lower chambers of the heart), your surgeon makes
small incisions in the right side of the chest and insert a tiny camera and robotic
instruments for surgery. The surgeon will also connect you to a heart-lung machine
through the groin. Oftentimes, your surgeon will be able to repair the mitral and
tricuspid valves using your own tissue. If repair is not possible, your surgeon
can also replace the valves.
Benefits of Minimally Invasive and Robotic Cardiac Surgery
Minimally invasive surgery has many benefits over traditional surgery, including:
- Quicker recovery
- Shorter hospital stay
- Less pain and scarring
- Less risk of infection
- Less blood loss and fewer transfusions
- Quicker return to normal activities
- Decreased need for post-surgery medications
- Smaller, less obvious incision
What to Expect During Minimally Invasive and Robotic Cardiac Surgery
When you come to our experts for surgery, your surgeon will start by making two
to four tiny cuts in your chest through which he can insert the robotics to conduct
the procedure as well as a small camera.
Using a special computer that controls the robotic arms, your surgeon views a 3D
image of the heart on a screen in the operating room to guide the procedure. After
the needed repairs or replacements have been made, the surgeon removes the robotic
arms and camera, and closes the small incisions with stitches.
Recovering from Minimally Invasive and Robotic Cardiac Surgery
Recovery from minimally invasive and robotic cardiac surgery is generally much easier
and faster than traditional open-heart surgery. However, you should still expect
to take some down time from your normal activities and work. Your recovery plan
will be tailored to your individual needs, but you can generally expect:
- A prescription for medicine to help control the pain, so you can relax and heal
- A prescription medicine to prevent blood clots from forming in your replacement
valve; you may need to take it for about six months after surgery
- Instructions on how to care for your incision site, such as how to dress and cover
the wound, and how to bathe while it heals
- Education on how to follow a heart-healthy diet that includes plenty of fruits and
vegetables, lean proteins, low-fat dairy and whole grains; you may need to avoid
foods that are high in salt, cholesterol and saturated fats
- The opportunity to attend regular cardiovascular rehabilitation once you are ready
to return to physical activity
Your surgeon will speak with you about your recovery and any related restrictions
before you leave the hospital.
Why Choose UF Health Jacksonville for Minimally Invasive and Robotic Cardiac Surgery?
Our physicians have been leaders in minimally invasive heart surgery for almost
20 years. Our cardiovascular surgeons are professors and researchers in one of the
nation’s largest cardiology training programs as part of the University of Florida
College of Medicine – Jacksonville.
By providing more treatment options than other facilities in the region, the UF
Health Cardiovascular Center in Jacksonville helps patients achieve optimal outcomes
for a lengthened and better quality of life. Our surgeons and cardiologists take
a team approach to assessing each individual patient so we can create a customized,
effective treatment plan for you or a loved one.
Video: Perceval™ Aortic Valve Replacement