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Endoscopic Tricuspid Valve Surgery: Planning and Deployment

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Endoscopic Cardiac Surgery
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Abstract

Tricuspid valve surgery, either in isolation or in combination with mitral valve surgery, can be easily implemented and performed through fully endoscopic access. Targeted measures are required for rapid, correct, and effective execution. As in the more general strategy of minimally invasive valve surgery, proper patient selection and planning based on imaging techniques are the secure foundation on which to base the surgical framework. Proper surgical access, ergonomics of instruments and movement, adequate venous drainage via cardiopulmonary bypass, and a bloodless field with minimal risk of gas embolization along with proper interaction between endoscopic optics and stitch placement to avoid minimal interference are the key points for performing the surgery. In this chapter, we describe our experience and workflow together with “tips and tricks” for successful intervention with a fully endoscopic approach, with attention to “traps” that may emerge.

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References

  1. Gulielmos V, Dangel M, Solowjowa N, Wagner FM, Karbalai P, Schmidt V, et al. Clinical experiences with minimally invasive mitral valve surgery using a simplified Port Access technique. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. agosto 1998;14(2):141–7.

    Google Scholar 

  2. Mohr FW, Falk V, Diegeler A, Walther T, van Son JA, Autschbach R. Minimally invasive port-access mitral valve surgery. J Thorac Cardiovasc Surg. marzo 1998;115(3):567–74; discussion 574–576.

    Google Scholar 

  3. Daemen JHT, Heuts S, Olsthoorn JR, Maessen JG, Sardari Nia P. Right minithoracotomy versus median sternotomy for reoperative mitral valve surgery: a systematic review and meta-analysis of observational studies. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 1 novembre 2018;54(5):817–25.

    Google Scholar 

  4. Ding C, Jiang D, Tao K, Duan Q, Li J, Kong M, et al. Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis. J Zhejiang Univ Sci B. 2014;15(6):522–32.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Kastengren M, Svenarud P, Ahlsson A, Dalén M. Minimally invasive mitral valve surgery is associated with a low rate of complications. J Intern Med. 2019;286(6):614–26.

    Article  CAS  PubMed  Google Scholar 

  6. Santana O, Larrauri-Reyes M, Zamora C, Mihos CG. Is a minimally invasive approach for mitral valve surgery more cost-effective than median sternotomy? Interact Cardiovasc Thorac Surg. 2016;22(1):97–100.

    Google Scholar 

  7. Botta L, Cannata A, Bruschi G, Fratto P, Taglieri C, Russo CF, et al. Minimally invasive approach for redo mitral valve surgery. J Thorac Dis. 2013;5(Suppl 6):S686-693.

    PubMed  PubMed Central  Google Scholar 

  8. Färber G, Tkebuchava S, Dawson RS, Kirov H, Diab M, Schlattmann P, et al. Minimally Invasive, Isolated Tricuspid Valve Redo Surgery: A Safety and Outcome Analysis. Thorac Cardiovasc Surg. 2018;66(7):564–71.

    Article  PubMed  Google Scholar 

  9. Lu S, Song K, Yao W, Xia L, Dong L, Sun Y, et al. Simplified, minimally invasive, beating-heart technique for redo isolated tricuspid valve surgery. J Cardiothorac Surg. 18 giugno 2020;15(1):146.

    Google Scholar 

  10. Murzi M, Miceli A, Di Stefano G, Cerillo AG, Farneti P, Solinas M, et al. Minimally invasive right thoracotomy approach for mitral valve surgery in patients with previous sternotomy: a single institution experience with 173 patients. J Thorac Cardiovasc Surg. 2014;148(6):2763–8.

    Article  PubMed  Google Scholar 

  11. Vallabhajosyula P, Wallen T, Pulsipher A, Pitkin E, Solometo LP, Musthaq S, et al. Minimally Invasive Port Access Approach for Reoperations on the Mitral Valve. Ann Thorac Surg. 2015;100(1):68–73.

    Article  PubMed  Google Scholar 

  12. Glauber M, Murzi M, Solinas M. Central aortic cannulation for minimally invasive mitral valve surgery through right minithoracotomy. Ann Cardiothorac Surg. 2013;2(6):839–40.

    PubMed  PubMed Central  Google Scholar 

  13. Glauber M, Miceli A, Canarutto D, Lio A, Murzi M, Gilmanov D, et al. Early and long-term outcomes of minimally invasive mitral valve surgery through right minithoracotomy: a 10-year experience in 1604 patients. J Cardiothorac Surg. 7 dicembre 2015;10:181.

    Google Scholar 

  14. Russo M, Di Mauro M, Saitto G, Lio A, Berretta P, Taramasso M, et al. Beating vs arrested heart isolated tricuspid valve surgery: long-term outcomes. Ann Thorac Surg. 5 aprile 2021.

    Google Scholar 

  15. Rival PM, Moore THM, McAleenan A, Hamilton H, Du Toit Z, Akowuah E, et al. Transthoracic clamp versus endoaortic balloon occlusion in minimally invasive mitral valve surgery: a systematic review and meta-analysis. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 1 ottobre 2019;56(4):643–53.

    Google Scholar 

  16. Raja SG, Dreyfus GD. Surgery for functional tricuspid regurgitation: current techniques, outcomes and emerging concepts. Expert Rev Cardiovasc Ther gennaio. 2009;7(1):73–84.

    Article  Google Scholar 

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Correspondence to Giacomo Bianchi .

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Solinas, M., Bianchi, G. (2023). Endoscopic Tricuspid Valve Surgery: Planning and Deployment. In: Zacharias, J. (eds) Endoscopic Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-21104-1_10

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  • DOI: https://doi.org/10.1007/978-3-031-21104-1_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21103-4

  • Online ISBN: 978-3-031-21104-1

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