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Title: Use of Suture tightening automated device COR-KNOT® for minimally invasive heart valve surgery: Our initial experience in Bangladesh
Authors: Sazzad, Md Faizus 
Ghafoor, Nusrat
Roy, Siba Pada
Munshi, Swati
Khanam, Feroza
Chanda, Prasanta Kumar
Wadud, Armane
Islam, Sirajul
Ahmed, Farooque
Siraj, Masoom
Kah, Ti Lian
Kofidis, Theodoros 
Issue Date: 2019
Publisher: Bangladesh Journals Online (JOL)
Citation: Sazzad, Md Faizus, Ghafoor, Nusrat, Roy, Siba Pada, Munshi, Swati, Khanam, Feroza, Chanda, Prasanta Kumar, Wadud, Armane, Islam, Sirajul, Ahmed, Farooque, Siraj, Masoom, Kah, Ti Lian, Kofidis, Theodoros (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. ScholarBank@NUS Repository.
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
Source Title: Bangladesh Heart Journal
ISSN: 10248714
DOI: 10.3329/bhj.v34i2.44444
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