Pediatric anesthesia & critical care

Surgical and Anesthesia-Related Concerns forRobot-Assisted Pediatric Cardiac Surgery

J Cardiothorac Vasc AnesthPublished Retrospective observational cohort study

Authors' conclusion

Robot-assisted cardiac surgery is well tolerated in appropriately selected pediatric patients, including children as small as 24 kg.

Study context

Population
Children undergoing robot-assisted cardiac surgery (atrial septal defect or mitral valve regurgitation with Marfan syndrome), academic tertiary care centre, 2022–2024
Participants
9 children
Outcome
Perioperative course
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Operative time, mean (SD), minutes
388.2 (40.7)
Fibrillation time, mean (SD), minutes
92.4 (25.8)
CPB time, mean (SD), minutes
192.1 (31.3)
OLV required
0
Extubated in the OR
77.8%
ICU LOS, median (IQR), hours
45 (26)
Hospital stay, median (IQR), days
3 (2.5)

Observational data: associations, not effects.

Further findings

Patient characteristics

Age, mean (SD), years
13.1 (2.5)
Weight, mean (SD), kg
48.5 (20.3)
BMI, mean (SD), kg/m²
21.7 (5.4)

Complications and mortality

Conversion to median sternotomy (aortic insufficiency, Marfan syndrome, aortic root dilation)
1
Reoperation for bleeding after emesis in the ICU
1
Mortality
0

Original publication

Surgical and Anesthesia-Related Concerns forRobot-Assisted Pediatric Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 7 November 2025. doi:10.1053/j.jvca.2025.11.005

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