Totally endoscopic periareolar approach for mitral valve repair. First case reported in Peru

Autores/as

  • Josías C. Ríos-Ortega Cardiovascular Surgery Department, Instituto Nacional Cardiovascular - INCOR - EsSalud, Lima, Peru. https://orcid.org/0000-0002-4396-7954
  • Víctor Robles-Velarde Cardiovascular Surgery Department, Instituto Nacional Cardiovascular - INCOR - EsSalud, Lima, Peru. https://orcid.org/0000-0002-7610-3722
  • Zoe Díaz-Chavez Cardiovascular Surgery Department, Instituto Nacional Cardiovascular - INCOR - EsSalud, Lima, Peru.

DOI:

https://doi.org/10.47487/apcyccv.v6i1.449

Palabras clave:

Mitral Valve Insufficiency, Minimally Invasive Surgical Procedures, Cardiac Surgical Procedures

Resumen

We present the case of a 39-year-old man with a history of progressive dyspnea. Transthoracic and transesophageal
echocardiography revealed severe mitral valve (MV) regurgitation due to P2 flail as well as severe tricuspid valve (TV) regurgitation. The patient underwent surgical treatment, including MV repair and TV annuloplasty, performed through a totally endoscopic periareolar approach. Postoperative evolution was satisfactory.

Descargas

Los datos de descarga aún no están disponibles.

Referencias

Vanermen H. What is minimally invasive cardiac surgery? J Card Surg. 1998;13(4):268-74. doi: 10.1111/j.1540-8191.1998.tb01067.x.

Sündermann SH, Sromicki J, Rodriguez Cetina Biefer H, Seifert B, Holubec T, Falk V, et al. Mitral valve surgery: right lateral minithoracotomy or sternotomy? A systematic review and meta-analysis. J Thorac Cardiovasc Surg. 2014;148(5):1989-1995.e4. doi: 10.1016/j.jtcvs.2014.01.046.

Hernández-Vásquez A, Rojas-Roque C, Vargas-Fernández R, Rosselli D. Measuring Out-of-pocket Payment, Catastrophic Health Expenditure and the Related Socioeconomic Inequality in Peru: A Comparison Between 2008 and 2017. J Prev Med Public Health. 2020;53(4):266-274. doi: 10.3961/jpmph.20.035.

Akowuah EF, Maier RH, Hancock HC, Kharatikoopaei E, Vale L, Fernandez-Garcia C, et al. Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair: A Randomized Clinical Trial. JAMA. 2023;329(22):1957-1966. doi: 10.1001/jama.2023.7800.

Gallego-Poveda J, Paulo N, Amorim MJ, González-Rivas D, Sandoval E, Pereda D, et al. Minimally Invasive Mitral Valve Figure 3. A. Postoperative transesophageal echocardiography showing no mitral valve regurgitation (180o view). B., C. Postoperative transthoracic echocardiography showing minimal mitral valve regurgitation in parasternal and 4 camera views, respectively (red arrow). Repair: From Total Endoscopic To Closed-Chest Robotic. Port J Card Thorac Vasc Surg. 2024;30(4):15-22. doi: 10.48729/pjctvs.429.

Van Praet KM, Kofler M, Akansel S, Montagner M, Meyer A, Sündermann SH, et al. Periareolar endoscopic minimally invasive cardiac surgery: postoperative scar assessment analysis. Interact Cardiovasc Thorac Surg. 2022;35(2):ivac200. doi: 10.1093/icvts/ivac200.

Oliveira KAS, Lousa ACDS, Souza ML, Leão TC Neto, Oliveira JB, Sousa LHP, et al. In-Hospital Outcomes of Right Minithoracotomy vs. Periareolar Access for Minimally Invasive Video-Assisted Mitral Valve Repair. Braz J Cardiovasc Surg. 2022;37(1):7-12. doi: 10.21470/1678-9741-2020-0507.

Brega C, Raviola E, Zucchetta F, Tripodi A, Albertini A. Periareolar approach in female patients undergoing mitral and tricuspid valve surgery: An almost invisible surgical access. J Card Surg. 2022;37(9):2581-2585. doi: 10.1111/jocs.16693.

Poffo R, Montanhesi PK, Toschi AP, Pope RB, Mokross CA. Periareolar Access for Minimally Invasive Cardiac Surgery: The Brazilian Technique. Innovations (Phila). 2018;13(1):65-69. doi: 10.1097/IMI.0000000000000454.

Descargas

Publicado

23-03-2025

Número

Sección

Reportes de casos

Artículos más leídos del mismo autor/a