Related Experiment Video
Updated: Jan 10, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Totally endoscopic systemic atrioventricular valve re-replacement for congenitally corrected transposition of the
1Department of Cardiovascular Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Michishita, Nagoya 453-8511, Japan.
Background:
Congenitally corrected transposition of the great arteries (ccTGA) is often associated with systemic atrioventricular valve (SAVV) regurgitation and the dysfunction of the systemic ventricle.
Case Summary:
We describe a case of a 47-year-old female who underwent SAVV replacement with bioprosthetic valve at 39-year-old through left thoracotomy approach. She developed dyspnoea on exertion and was recommended for surgery. We performed a totally three-dimensional endoscopic minimally invasive re-replacement of SAVV.
Discussion:
Endoscopic replacement of SAVV for an adult is possible with an excellent view. We describe our approach which has overcome unique technical hurdles and has yielded favourable outcomes.
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