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Ann Thorac Surg 2002;74:43-45
© 2002 The Society of Thoracic Surgeons


Original article: cardiovascular

Minimally invasive tricuspid operation using port access

Alan P. Kypson, MDa, Donald D. Glower, MD*a

a Division of Cardiothoracic Surgery, Duke University Medical Center, Durham, North Carolina, USA

* Address reprint requests to Dr Glower, Department of Surgery, Duke University Medical Center, Box 3851, Durham, NC 27710, USA
e-mail: glowe001{at}mc.duke.edu

Presented at the Video Session of the Forty-eighth Annual Meeting of the Southern Thoracic Surgical Association, San Antonio, TX, Nov 8–10, 2001.

Background. Port-access techniques performed through a right mini-thoracotomy have been extensively described for both the mitral and aortic valves. However, reports of tricuspid valve operations using the port-access approach are rare. A technique for minimally invasive tricuspid valve operation using port access is described.

Methods. Port-access approach was applied to 33 consecutive patients undergoing tricuspid valve repair or replacement.

Results. Twelve percent (4 of 33) underwent tricuspid replacement and 88% underwent repair (28 of 33). Perioperative mortality was 6% (2 of 33) and conversion to median sternotomy was 3% (1 of 33).

Conclusions. Port-access tricuspid operations are both feasible and safe with a low conversion rate to conventional median sternotomy.




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Ann. Thorac. Surg.Home page
S. Dogan, T. Aybek, P. S. Risteski, F. Detho, A. Rapp, G. Wimmer-Greinecker, and A. Moritz
Minimally Invasive Port Access Versus Conventional Mitral Valve Surgery: Prospective Randomized Study
Ann. Thorac. Surg., February 1, 2005; 79(2): 492 - 498.
[Abstract] [Full Text] [PDF]




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