Minimally invasive tricuspid valve surgery in patients at high risk

Ricci, Davide; Boffini, Massimo; Barbero, Cristina; Qarra, Suad El; Marchetto, G; Rinaldi, Mauro

doi:10.1016/j.jtcvs.2013.03.018

Cited by 41 publications

(39 citation statements)

References 29 publications

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“…The LIMVS technique has been previously described [17][18][19]. A double lumen endotracheal tube or a bronchus blocker was positioned to allow one-lung ventilation.…”

Section: Surgical Techniquementioning

confidence: 99%

Comparison of Endoaortic and Transthoracic Aortic Clamping in Less-Invasive Mitral Valve Surgery

Barbero

Krakor

Bentala

et al. 2018

The Annals of Thoracic Surgery

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“…The LIMVS technique has been previously described [17][18][19]. A double lumen endotracheal tube or a bronchus blocker was positioned to allow one-lung ventilation.…”

Section: Surgical Techniquementioning

confidence: 99%

Comparison of Endoaortic and Transthoracic Aortic Clamping in Less-Invasive Mitral Valve Surgery

Barbero

Krakor

Bentala

et al. 2018

The Annals of Thoracic Surgery

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“…Right minithoracotomy techniques used in our department have been previously described [7,8]. Double lumen endotracheal tube was positioned to allow 1-lung ventilation and bilateral radial arterial lines was used for monitoring blood pressure.…”

Section: Surgical Techniquementioning

confidence: 99%

“…CþEB cannulation with antegrade perfusion has several advantages over the peripheral approach. It allows the avoidance of the risk of groin wound infection, wound seroma, and femoral artery injury and to reduce the risk of aortic dissection and atheroembolism with neurological injury caused by RAP and retrograde balloon manipulation [8,12,20]. In addition, it should also provide a better stability of the endoclamp and a lower risk of balloon migration with innominate artery occlusion [20].…”

Section: Commentmentioning

confidence: 99%

Right Minithoracotomy for Mitral Valve Surgery: Impact of Tailored Strategies on Early Outcome

Barbero

Marchetto

Ricci

et al. 2016

The Annals of Thoracic Surgery

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“…Tricuspid valvular disease has been always considered less clinically important than mitral and aortic valves pathology, and its optimal timing of surgical intervention remains controversial [1]. Many patients undergo concomitant tricuspid valve surgery at the time of mitral or aortic valve intervention, while isolated tricuspid valve surgery is rarely performed [2]. However, there are a large population of secondary isolated tricuspid valve regurgitation after previous cardiac operations, they are neglected and undertreated.…”

Section: Introductionmentioning

confidence: 99%

Simplified Minimally Invasive Beating Heart Technique for Redo Isolated Tricuspid Valve Surgery

Song

Yao

et al. 2020

Preprint

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BackgroundRedo isolated tricuspid valve surgery has been associated with a high morbidity and mortality, and its optimal timing of surgical intervention remains controversial. Hence, we reviewed our early and midterm results with a simplified minimally invasive beating heart technique for isolated redo tricuspid valve surgery in patients at high risk.MethodsBetween June 2016 and August 2017, a total of 14 consecutive patients underwent isolated tricuspid valve operations after previous cardiac operations with minimally invasive beating heart technique through a right lateral thoracotomy in our center. Mean patient age was 54.0 ± 8.3 years, and 9 patients (64.3%) were women. Mean preoperative EuroSCORE was 8.1 ± 1.3 (6 to 11). Previous cardiac operations included 6 patients (42.9%) with mitral valve replacement, 1 patient (7.1%) with mitral valve replacement and tricuspid valve repair, 1 patient (7.1%) with tricuspid valve replacement, 5 patients (35.7%) with mitral valve and aortic valve replacement, and 1 patient (7.1%) with Ebstein repair. Midterm follow-up was complete for 12 patients (85.7%).ResultsBoth in-hospital and thirty-day mortalities were 0%. Tricuspid valve replacement with bioprosthesis was performed in 12 patients (85.7%), and the remaining 2 patients (14.3%) underwent tricuspid repair (annuloplasty and leaflets reconstruction). Mean cardiopulmonary bypass time was 55.6 ± 10.7 minutes. Overall in-hospital duration and intensive care unit (ICU) time were 11.6 ± 8.8 days, 3.9 ± 2.8 days, respectively. Postoperative complications included 2 patients (1.4%) with prolonged ventilation, and 2 patients (1.4%) with acute kidney injury. There were no postoperative cerebrovascular accidents, myocardial infarctions, reoperations for bleeding, or deep wound infections. All patients were discharged uneventful. Except 2 patients lost follow-up, there were no adverse cardiovascular events and deaths occurred in other patients.ConclusionsSimplified minimally invasive beating heart technique for redo tricuspid valve surgery is both feasible and safe, and the early and midterm results are excellent.

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Minimally invasive tricuspid valve surgery in patients at high risk

Cited by 41 publications

References 29 publications

Comparison of Endoaortic and Transthoracic Aortic Clamping in Less-Invasive Mitral Valve Surgery

Comparison of Endoaortic and Transthoracic Aortic Clamping in Less-Invasive Mitral Valve Surgery

Right Minithoracotomy for Mitral Valve Surgery: Impact of Tailored Strategies on Early Outcome

Simplified Minimally Invasive Beating Heart Technique for Redo Isolated Tricuspid Valve Surgery

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