Robotic Surgery for Triple Valve Insufficiency: A Case Report

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Techniques
• Robotic Surgery

Background:

• Triple valve insufficiency (aortic, mitral, and tricuspid) presents a complex surgical challenge.
• Traditional open-heart surgery carries significant risks and prolonged recovery times.
• Advancements in robotic-assisted minimally invasive surgery offer potential benefits for complex cardiac procedures.

Observation:

• A 63-year-old female patient presented with severe triple valve insufficiency.
• The patient was referred for surgical intervention at our institution.
• A robot-assisted endoscopic approach was selected for the complex valve reconstruction.

Findings:

• The procedure involved mitral valve repair with neochords and ring annuloplasty.
• Aortic valve replacement was performed using a bioprosthetic valve.
• Tricuspid valve annuloplasty was completed using a ring.
• The surgery was successfully performed using three intercostal ports and a small thoracotomy.
• The patient experienced no blood transfusions or intraoperative/postoperative complications.

Implications:

• Robot-assisted minimally invasive surgery is a viable and effective option for treating complex triple valve insufficiency.
• This approach may lead to reduced patient morbidity, shorter hospital stays, and faster recovery compared to conventional sternotomy.
• Further research and larger studies are warranted to establish long-term outcomes and cost-effectiveness.