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Updated: Jun 3, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Vacuum-assisted venous drainage in tricuspid valve re-replacement
Wakako Fukuda1, Chikashi Aoki, Kazuyuki Daitoku
1Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Zaifu-cho 5, Hirosaki, Aomori 036-8562, Japan.
Abstract:
The number of reoperations for prosthetic valve replacement has increased in recent years due to the steady increase in life expectancy. However, reoperations are complex and require experience and skills. We report the case of a 69-year-old female with severe right heart failure who underwent tricuspid valve re-replacement 28 years after the initial tricuspid valve replacement. Cardiopulmonary bypass with vacuum-assisted venous drainage (VAVD) was used to achieve better perfusion flow and heart decompression with smaller venous cannulae. The operation was successful. The VAVD system is effective in patients who have a persistent elevation of central venous pressure.
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