
Abstract
CARDIOPULMONARY BYPASS (CPB) is an essential component of cardiac surgery, and its unexpected failure during surgery can compromise circulatory and respiratory management, potentially endangering the patient’s life. In the event of an emergency shutdown, a transition to hand-cranking, early completion or interruption of the surgery, and termination of CPB to restore the patient’s native circulation are recommended.1 During robot-assisted minimally invasive surgery, the limited surgical field and the need for robotic system rollout make early termination or restoration of spontaneous circulation particularly challenging. When intracardiac manipulation has just begun, prolonged hand-cranking may be required, necessitating additional personnel and raising concerns about inadequate perfusion.1,2,3 While switching to a backup CPB machine or an alternative circulatory support device is an option, case reports describing the procedural steps for such transitions are limited.
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