Dual-Camera Port Setup Strategies for Totally Endoscopic Aortic and Mitral Valve Surgery

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Techniques
• Medical Technology

Background:

• Endoscopic cardiac surgery provides benefits but is limited in combined aortic and mitral valve procedures due to visualization challenges.
• Technical complexity and suboptimal viewing angles hinder the application of minimally invasive approaches for double-valve surgeries.

Observation:

• A septuagenarian patient with severe mitral stenosis, atrial fibrillation, and an aortic valve papillary fibroelastoma underwent endoscopic double-valve surgery.
• Preoperative imaging indicated that a single camera port would not offer adequate visualization for the complex procedure.

Findings:

• A dual-camera port setup was successfully implemented, facilitating both mitral valve replacement and aortic tumor resection.
• The patient experienced an uneventful recovery and was discharged on postoperative day seven.

Implications:

• The dual-camera port approach significantly improves visualization and maneuverability in totally endoscopic double-valve surgery.
• This technique presents a minimally invasive and effective option for complex cardiac surgeries, especially in high-risk patients.
• This advancement broadens the applicability of endoscopic cardiac surgery for combined valve interventions.