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Eur J Cardiothorac Surg 1999;16:243-245
© 1999 Elsevier Science NL

Case report

Video-assisted tricuspid valve surgery: a new surgical option in endocarditis on pacemaker

^a Department of Cardiovascular Surgery, Hôpital Cardiologique, Lyon, France
^b Postoperative Care Unit, Hôpital Cardiologique, Lyon, France

Corresponding author. Hôpital Cardiologique, 59 boulevard Pinel, 69003 Lyon, France. Tel.: +33-4-72-35-74-80; fax: +33-4-72-34-18-53
e-mail: jacquesrobin{at}compuserve.com

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.

Key Words: Video-assisted cardiac surgery • Tricuspid valve surgery • Tricuspid endocarditis

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