Under the direction of Dr. Kenneth Liao, Baylor St. Luke's Medical Center in Houston completed the nation's first entirely robotic heart transplant. This achievement is a significant milestone.

Baylor St. Luke’s Medical Center has made a significant advancement in medicine and robotics by announcing the first fully robotic heart transplant in the United States, which took place on March 15 at the Texas Medical Center.
The groundbreaking surgery was performed on Tony Rosales Ibarra, a 45-year-old patient from Lufkin, Texas, who had been enduring advanced heart failure. Under the guidance of Dr. Kenneth Liao, a cardiothoracic surgeon renowned for his expertise in robotic procedures, this operation signifies a significant leap forward in the application of robotic technology within cardiac care.
“I instructed the doctors, ‘Take whatever measures necessary to ensure my survival.” There are no limitations. “I want to live,” said Rosales Ibarra in a phone interview with Houston Chronicle. Since the operation, he has experienced a smooth recovery without any complications.
In recent years, robotic assistance in heart surgery has gained popularity, offering advantages such as enhanced precision, smaller incisions, and quicker recovery times. Robots have played a role in numerous cardiac procedures, but Rosales Ibarra's case marks the first instance of a heart transplant being performed entirely with robotic technology in the U.S.
In 2023, Saudi Arabia witnessed the world's inaugural fully robotic heart transplant, positioning this procedure at Baylor St. Luke’s as the second of its kind globally and the first within the country.
“This milestone in heart transplantation fills us with immense pride and contributes significantly to our hospital's legacy of medical accomplishments,” stated Dr. Bradley T. Lembcke, president of Baylor St. Luke’s Medical Center. “It highlights our dedication to addressing the most intricate health issues using advanced technology.”
Since joining the hospital in 2019, Dr. Liao has successfully performed more than 800 robotic heart surgeries. He is convinced that this procedure signifies the start of a new era in heart transplantation. “I believe this will shape the future and ideally establish itself as the standard of practice,” he stated.
Baylor St. Luke’s has consistently been acknowledged for its advancements in cardiac care. This significant transplant enhances Houston’s emerging status as a center for medical innovation and underscores the potential of robotic-assisted surgery in improving patient outcomes for even the most intricate procedures.
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