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Updated: Mar 28, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Minimally Invasive Cardiac Surgery Using a 3D High-Definition Endoscopic System
Tamas Ruttkay1, Julia Götte, Ulrike Walle
1From the Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart GmbH, Stuttgart, Germany.
This study highlights the successful use of the EinsteinVision 2.0 3D endoscopic system for minimally invasive tricuspid valve repair. The system facilitated precise manipulation through a small incision, avoiding rib spreading.
Area of Science:
- Cardiovascular Surgery
- Medical Technology
- Minimally Invasive Procedures
Background:
- Severe tricuspid valve insufficiency in an 81-year-old male.
- Patient history includes Ross procedure and pacemaker implantation for tachy-brady-syndrome.
- Normal biventricular function noted.
Observation:
- Application of the EinsteinVision 2.0 3D high-definition endoscopic system.
- Procedure performed through a minimal thoracotomy incision.
- Utilized 3D depth perception for surgical manipulation.
Findings:
- Successful minimally invasive tricuspid valve repair.
- The endoscopic system provided simple and precise manipulation.
- Avoided the need for a rib spreading retractor.
Implications:
- Demonstrates the efficacy of advanced endoscopic systems in complex cardiac procedures.
- Highlights potential for less invasive surgical approaches in tricuspid valve repair.
- Suggests improved patient outcomes through reduced surgical trauma.
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