Robot-assisted endoscopic surgery can be successfully performed for complex triple valve procedures without perioperative complications.
Supports feasibility of robot-assisted triple valve surgery without transfusion in one case; hypothesis-generating and should not yet change practice.
A 63-year-old woman was referred to our institution for surgical treatment of triple valve (aortic, mitral, and tricuspid) insufficiency and underwent a robot-assisted endoscopic procedure. Three intercostal ports were placed in the right lateral chest for robotic instruments and a retrograde cardioplegic cannula, and a 5 cm thoracotomy was made for the procedure, which was a mitral valve repair with neochords and ring annuloplasty, an aortic valve replacement with bioprosthetic valve, and a ring tricuspid annuloplasty. Surgery was successfully achieved without blood transfusion or any complications.
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Ishikawa et al. (2023) studied this question.
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