Video-assisted tricuspid valve surgery: a new surgical option in endocarditis on pacemaker.
A patient presenting with a pacemaker lead infection and tricuspid regurgitation underwent a minimally invasive video-assisted tricuspid valve replacement. The valve was approached through a right anterior mini thoracotomy. Under thoracoscopic vision and peripheral cardiopulmonary bypass, a catheter was placed on the ascending aorta for antegrade cardioplegia delivery. A transthoracic aortic cross-clamp was introduced through the third right intercostal space. Tricuspid valve replacement added to the pacemaker leads ablation was exclusively performed under thoracoscopic vision, providing an excellent video-image in this reduced operative field. After 22 months of follow up, the patient is asymptomatic, the echocardiography showing a normally functioning valve.
Robin
J
J
Department of Cardiovascular Surgery, Hôpital Cardiologique, Lyon, France. jacquesrobin@compuserve.com
Tronc
F
F
Vedrinne
C
C
Champsaur
G
G
D002315:Cardiopulmonary Bypass; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000601:surgery*; D006324:Heart Arrest, Induced; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000209:etiology / Q000601:surgery*; D013210:Staphylococcus / Q000302:isolation & purification; D014261:Tricuspid Valve / Q000382:microbiology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014741:Video Recording