Key result
Minimally invasive 3D endoscopic tricuspid valve repair enables precise, retractor-free manipulation in a single case.
Case Report (n=1)
The use of a 3D high-definition endoscopic system for minimally invasive tricuspid valve repair is feasible and facilitates precise surgical manipulation without requiring a rib spreading retractor.
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3D endoscopic tricuspid repair is feasible post-sternotomy in one case; leaves open safety, efficacy, and generalizability.
We describe a minimally invasive heart surgery application of the EinsteinVision 2.0 3D high-definition endoscopic system (Aesculap AG, Tuttlingen, Germany) in an 81-year-old man with severe tricuspid valve insufficiency. Fourteen years ago, he underwent a Ross procedure followed by a DDD pacemaker implantation 4 years later for tachy-brady-syndrome. His biventricular function was normal. We recommended minimally invasive tricuspid valve repair. The application of the aformentioned endoscopic system was simple, and the impressive 3D depth view offered an easy and precise manipulation through a minimal thoracotomy incision, avoiding the need for a rib spreading retractor.
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Ruttkay et al. (2015) conducted a case report in Severe tricuspid valve insufficiency (n=1). Minimally invasive tricuspid valve repair using the EinsteinVision 2.0 3D high-definition endoscopic system was evaluated. Minimally invasive tricuspid valve repair using a 3D high-definition endoscopic system was simple and provided precise manipulation without a rib spreading retractor in an 81-year-old man.
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