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Updated: Jun 14, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Minimally invasive isolated tricuspid valve surgery
Joerg Seeburger1, Michael A Borger, Jurgen Passage
1Heart Center, Leipzig University, Leipzig, Germany. seej@med.uni-leipzig.de
The Journal of Heart Valve Disease
|April 8, 2010
Summary
Minimally invasive isolated tricuspid valve (TV) surgery offers good outcomes, with a high repair rate and 90% five-year survival. This approach is particularly beneficial for redo TV surgery cases.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Surgery
Background:
- Outcomes for minimally invasive isolated tricuspid valve (TV) surgery are not well-documented.
- Previous cardiac operations, including TV procedures, were common in the study cohort.
Purpose of the Study:
- To assess the results of minimally invasive, isolated TV surgery.
- To evaluate the feasibility and outcomes of this approach, especially in complex cases.
Main Methods:
- Retrospective analysis of 35 patients undergoing isolated TV surgery via right lateral mini-thoracotomy (2000-2008).
- TV repair (77%) with annuloplasty ring implantation or TV replacement.
- Preoperative assessment of left ventricular ejection fraction and detailed TV pathology evaluation.
Main Results:
- Hospital mortality was 5.7%.
- Early and mid-term echocardiography showed no or only mild tricuspid regurgitation in most patients.
- Estimated five-year survival was 90%.
Conclusions:
- Minimally invasive isolated TV surgery can be performed with favorable outcomes.
- A high rate of successful TV repair is achievable.
- The minimally invasive approach is particularly valuable for redo TV surgery.
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