Tricuspid Valve Surgery through Transareolar Approach Tadashi Kitamura 1 1Department of Cardiovascular Surgery, Kitazato University Keyword: minimally invasive cardiac surgery (MICS) , tricuspid valve , transareolar pp.498-502
Published Date 2020/7/1
DOI https://doi.org/10.15106/j_kyobu73_498
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Right minithoracotomy has become the standard approach along with sternotomy in mitral and tricuspid valve surgery. Transareolar incision, compared with submammary incision, is advantageous in that it often allows better angle for antegrade cardioplegia cannulation through the main wound. It also provides a better cosmesis. In this retrospective study, we reviewed the 11 patients who underwent minimally invasive tricuspid valve repair through transareolar approach from 2016 to 2019. Mean age was 58 years, 8 ware female, mean body weight was 53 kg, and mean body surface area was 1.47 m2. Causative pathology was atrial septal defect in 8, trauma in 1, tumor in 1 and pacemaker lead infection in 1. Homologous blood transfusion was performed in 1. Hospital mortality occurred in 1;a patient on dialysis who underwent tricuspid valve repair with removal of vegetation for pacemaker lead infection died of uncontrollable acidosis. There was no late death. Transareolar approach was considered a feasible option for tricuspid valve surgery.

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