Endoscopic On-Pump Beating Approach for Mitral and Tricuspid Valve Disease after Aortic Valve Replacement

Abstract

In redo mitral and/or tricuspid valve operations after aortic valve replacement, the endoscopic right mini-thoracotomy approach provides the benefits of minimal tissue dissection and excellent exposure of mitral and tricuspid valves. Furthermore, on-pump beating surgery eliminates the need to cross-clamp the aorta and dissect the adhesion around the aorta. We report three cases of redo mitral and tricuspid valve operations after aortic valve replacement performed with a right mini-thoracotomy on-pump beating approach.