Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart

Liu, Huanan; Liao, Shengjie; Lin, Zhaoming; Zhang, Xiaoshen

Liu, Huanan; Liao, Shengjie; Lin, Zhaoming; Zhang, Xiaoshen.

Afiliación

Liu, Huanan; The First Affiliated Hospital, Jinan University. Department of Cardiovascular Surgery. Guangzhou. CN
Liao, Shengjie; The First Affiliated Hospital, Jinan University. Department of Cardiovascular Surgery. Guangzhou. CN
Lin, Zhaoming; The First Affiliated Hospital, Jinan University. Department of Cardiovascular Surgery. Guangzhou. CN
Zhang, Xiaoshen; The First Affiliated Hospital, Jinan University. Department of Cardiovascular Surgery. Guangzhou. CN

Rev. bras. cir. cardiovasc ; Rev. bras. cir. cardiovasc;38(1): 175-178, Jan.-Feb. 2023. tab, graf

Article en En | LILACS-Express | LILACS | ID: biblio-1423083

Biblioteca responsable: BR1.1

ABSTRACT

ABSTRACT

Abstract Paravalvular leakage (PVL) after mitral valve replacement is a troublesome complication that may lead to severe symptoms and reoperation. Previous case reports on total thoracoscopic cardiac surgery without aortic cross-clamping for repairing late PVL are rare. We describe a 64-year-old man who had undergone aortic and mitral valve replacement via median sternotomy eight years earlier, and who recently developed cardiac failure due to severe tricuspid regurgitation (TR) and PVL in the posterior mitral annulus. During total thoracoscopic surgery with using the beating heart technique, direct closure of the PVL was achieved via pledgeted mattress sutures, and tricuspid valvuloplasty was routinely performed to treat TR. This case indicated that total thoracoscopic surgery on a beating heart may be an excellent option for treating PVL concomitant with TR.

Palabras clave

Cardiac Surgical Procedures; Constriction; Sternotomy; Suture Techniques; Thoracoscopy; Tricuspid Valve Insufficiency

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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Rev. bras. cir. cardiovasc Asunto de la revista: CARDIOLOGIA / CIRURGIA GERAL Año: 2023 Tipo del documento: Article País de afiliación: China Pais de publicación: Brasil

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