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Related Concept Videos

Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
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Related Experiment Video

Updated: Jul 3, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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[MSB-21] Minimally Invasive Tricuspid Valve Surgery Without Inferior Vena Cava Clamping.

Deniz Günay1, Cengiz Köksal1

  • 1Medipol Acıbadem Bölge Hospital, İstanbul, Türkiye.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|May 5, 2025
PubMed
Summary

Minimally invasive tricuspid valve surgery using vacuum assistance without inferior vena cava (IVC) clamping is safe and effective. This technique achieved 100% operative success with comparable postoperative outcomes to traditional methods.

Keywords:
Inferior vena cava clampingminimally invasive tricuspid valve surgerytricuspid valve replacement.

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Cardiac Surgery
  • Transcatheter Valve Interventions

Background:

  • Traditional tricuspid valve surgery often requires inferior vena cava (IVC) clamping, which can lead to hemodynamic instability.
  • Minimally invasive approaches aim to reduce surgical trauma and improve patient recovery.
  • Vacuum-assisted venous drainage offers an alternative to direct IVC cannulation and clamping.

Purpose of the Study:

  • To evaluate the safety and efficacy of minimally invasive tricuspid valve surgery performed with vacuum assistance without IVC clamping.
  • To compare outcomes between patients undergoing tricuspid valve surgery with and without IVC clamping.

Main Methods:

  • A retrospective study of 125 patients undergoing minimally invasive tricuspid valve surgery.
  • Patients were divided into two groups: Group 1 (n=112) with IVC clamping and Group 2 (n=13) with vacuum assistance and no IVC clamping.
  • Key outcomes assessed included operative success, morbidity, mortality, bleeding, and hemolysis.

Main Results:

  • Both groups achieved 100% operative success rates.
  • Redo cases were more frequent in the vacuum-assisted group (53.8% vs. 14.3%).
  • Postoperative bleeding and hemolysis were similar between groups, with one mortality in the IVC clamping group (0.9%).

Conclusions:

  • Minimally invasive tricuspid valve surgery can be safely performed using vacuum assistance without the need for IVC clamping.
  • This technique demonstrates comparable safety and efficacy to conventional IVC clamping methods.
  • Vacuum assistance may be a viable option, particularly in complex or redo tricuspid valve procedures.