Cardiovascular collapse after femoral venous cannula placement for robotic-assisted mitral valve repair and patent foramen ovale closure.

botica of t ary b diac a air a a per ula i nous c on in t case, t with s ave b as d perf rnal j p nula h left a has b re p lacem that s dden c t t p P c b CASE IS PRESENTED of sudden cardiac decompen tion in a patient undergoing femoral venous cann lacement for robotic-assisted mitral valve repair and pa oramen ovale (PFO) closure. Robotic-assisted and minima nvasive techniques for cardiac surgery create new and un hallenges for anesthesiologists and surgeons. A rare com ation of left atrial appendage perforation and ensuing car amponade secondary to transatrial septal guidewire passage he setting of robotic-assisted surgery is described.