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Related Experiment Videos

Minimally invasive tricuspid operation using port access.

Alan P Kypson1, Donald D Glower

  • 1Division of Cardiothoracic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.

The Annals of Thoracic Surgery
|July 18, 2002
PubMed
Summary

Minimally invasive tricuspid valve surgery using a port-access approach is feasible and safe. This technique offers a low conversion rate to traditional median sternotomy for tricuspid valve repair or replacement.

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Cardiac Surgery

Background:

  • Port-access techniques are established for mitral and aortic valve surgery.
  • Tricuspid valve operations via port-access are infrequently reported.

Purpose of the Study:

  • To describe a technique for minimally invasive tricuspid valve surgery using a port-access approach.
  • To evaluate the feasibility and safety of this approach.

Main Methods:

  • A port-access approach was utilized for 33 consecutive patients.
  • Procedures included tricuspid valve repair and replacement.

Main Results:

  • 88% of patients underwent tricuspid valve repair, while 12% had replacement.
  • Perioperative mortality was 6%, with a 3% conversion rate to median sternotomy.

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Conclusions:

  • Port-access tricuspid valve operations are demonstrated to be feasible and safe.
  • The approach shows a low conversion rate to conventional median sternotomy.