Minimally invasive triple valve surgery through a right minithoracotomy

Minimally invasive triple valve surgery: A single center experience

“…In this series, cardiopulmonary bypass times (median 166 minutes) are similar to those observed within our institution in patients who underwent TVS utilizing an open approach without other concomitant cardiac procedures, such as CABG (median 168 minutes in seven patients, data not shown). Moreover, cross‐clamp times were similar, and actually slightly lower, in this cohort compared with our previous open patients with TVS (median 137 minutes), and is also lower than similar reports in the literature, which range from 131 to 181 minutes 6,8,11,12 . A study of double valve procedures by Atik et al 25 which used propensity scoring to match patients undergoing open and minimally invasive approaches showed that utilizing the minimally invasive approach did not prolong cross clamp time or total time on cardiopulmonary bypass.…”

“…Our technique is similar to other previously described minimally invasive approaches, with important distinctions. One is that we place a venous cannula directly into the SVC and join it to the venous circuit which also has a femoral venous cannula 6,8‐11 . We do not utilize jugular cannulation as reported in the Rome approach.…”

“…Fewer groups have begun to use an even less invasive method utilizing a right anterior mini‐thoracotomy procedure in which an incision is made through the third to fifth intercostal space, allowing for access to repair and replace the valves 8‐12 . In our institution, a mini‐thoracotomy approach has been used since 2012.…”

“…6,7 Fewer groups have begun to use an even less invasive method utilizing a right anterior mini-thoracotomy procedure in which an incision is made through the third to fifth intercostal space, allowing for access to repair and replace the valves. [8][9][10][11][12] In our institution, a mini-thoracotomy approach has been used since 2012. The current report describes the surgical approach used, as well as patient outcomes including early and late morbidity and mortality associated with minimally invasive TVS.…”

The Opportunities and Limitations of Minimally Invasive Cardiac Surgery

“…We can only repeat our recommendation to attend specialized centers (5,25). In such centers, these procedures are even now part of the standard healthcare repertoire (20,31,32).…”