Use of Suture tightening automated device COR-KNOT® for minimally invasive heart valve surgery: Our initial experience in Bangladesh

  • Md Faizus Sazzad Research Associate/Cardiac Surgeon, Dept. of Surgery (CTVS), Yong Loo Lin School of Medicine National University of Singapore
  • Nusrat Ghafoor Associate Professor & Consultant, Dept. of Radiology & Imaging, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh
  • Siba Pada Roy Assistant Professor & Associate Consultant, Dept. of Cardiac Anaesthesiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh
  • Swati Munshi Specialist Perfutionist, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh.
  • Feroza Khanam Associate Professor & Senior Consultant, Dept. of Cardiac Surgery, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh
  • Prasanta Kumar Chanda Assistant Professor & Associate Consultant, Department of Cardiac Anaesthesiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh
  • Armane Wadud Senior Consultant, Dept. of Cardiac Anaesthesiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh
  • Sirajul Islam Chief Cardiac Surgeon, Dept. of Cardiac Surgery, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh
  • Farooque Ahmed Head of the Department, Dept. of Cardiac Surgery, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh
  • Masoom Siraj Haed of Anesthesiology, National University Hospital, Singapore
  • Ti Lian Kah Head of the Dept., Cardiac Thoracic and Vascular Surgery, National University Hospital, Singapore
  • Theodoros Kofidis Specilalist, Dept. of Radiology and Imaging, Square Hospital, Dhaka, Bangladesh
Keywords: COR-KNOT, Minimally invasive heart valve surgery

Abstract

Background: COR-KNOT® (LSI Solutions, New York, NY, USA) is an automated suture securing device has not been well known. We report a case series for first automated knotting device used for minimally invasive heart valve surgery in Bangladesh. Method and

Results: To overcome the challenge of knot securing via a Key-Hole surgery we have used CORKNOT ®. The newest device is capable of remotely and automatically secure sutures and simultaneously can cut and remove the excess suture tails. We covered the spectrum of heart valve surgery: There was one case of bioprosthetic aortic valve replacement, one case of mitral valve repair, one case of bioprosthetic mitral valve replacement, one case of failed mitral valve repair with COR-KNOT® explantation followed by mechanical mitral valve replacement and one case of redo-mitral valve replacement. Average length of hospital stays was 5 ± 1days. There was one reopening, one post-operative atrial fibrillation. No wound infection and no 30day mortality.

Conclusion: We conclude, COR-KNOT® is a safe and effective tool to reduce the duration of operation. Clinical outcome of heart valve surgery with COR-KNOT® is comparable with other methods of suture tying methods.

Bangladesh Heart Journal 2019; 34(2) : 127-131

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Abstract
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Published
2019-12-12
How to Cite
Sazzad, M. F., Ghafoor, N., Roy, S., Munshi, S., Khanam, F., Chanda, P., Wadud, A., Islam, S., Ahmed, F., Siraj, M., Kah, T., & Kofidis, T. (2019). Use of Suture tightening automated device COR-KNOT® for minimally invasive heart valve surgery: Our initial experience in Bangladesh. Bangladesh Heart Journal, 34(2), 127-131. https://doi.org/10.3329/bhj.v34i2.44444
Section
Original Articles