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The heart-port-based minimally invasive approach seems to be safe, feasible, and reproducible in case of tricuspid valve operations. It ensures low perioperative morbidity, moderate to low rates of tricuspid regurgitation recurrence, and low late mortality. It also seems to have an added value in case of reoperative procedures.

Standard aortic valve replacement is the gold standard for the treatment of severe aortic stenosis but transcatheter procedure can be performed in selected patients with important comorbidities or absolute contraindication for standard surgical approach. Careful multidisciplinary evaluation of each single case is fundamental in order to tailor the appropriate approach for every patient.