Beating-Heart Totally Endoscopic Tricuspid Valvuloplasty in Reoperative Cardiac Surgery

The development of significant tricuspid regurgitation long after left-sided valve surgery is not uncommon and is closely associated with a poor prognosis. Traditional open-heart tricuspid procedures after previous cardiac surgery are reported with high mortality. Currently, role of endoscopic surgery treating late severe tricuspid regurgitation following cardiac surgery remains less investigated. We herein report the technique, which is a combination of the beating-heart minimally invasive approach and the leaflet augmentation technique treating tricuspid regurgitation after cardiac surgery. Outcomes of this technique for severe late tricuspid regurgitation following cardiac surgery are favorable. (C) 2019 by The Society of Thoracic Surgeons