Ishikawa Norihiko, Watanabe Go, Koakutsu Toru, Horikawa Takafumi, Seguchi Ryuta, Tomita Shigeyuki, Ohtsuka Toshiya
Department of Cardiovascular Surgery, NewHeart Watanabe Institute, Tokyo, Japan.
Innovations (Phila). 2023 Jul-Aug;18(4):380-383. doi: 10.1177/15569845231185394. Epub 2023 Aug 3.
A 63-year-old woman was referred to our institution for surgical treatment of triple valve (aortic, mitral, and tricuspid) insufficiency and underwent a robot-assisted endoscopic procedure. Three intercostal ports were placed in the right lateral chest for robotic instruments and a retrograde cardioplegic cannula, and a 5 cm thoracotomy was made for the procedure, which was a mitral valve repair with neochords and ring annuloplasty, an aortic valve replacement with bioprosthetic valve, and a ring tricuspid annuloplasty. Surgery was successfully achieved without blood transfusion or any complications.
一名63岁女性因三尖瓣（主动脉瓣、二尖瓣和三尖瓣）关闭不全被转诊至我院接受手术治疗，并接受了机器人辅助内镜手术。在右侧胸壁放置了三个肋间切口用于机器人器械和逆行心脏停搏插管，并为此进行了一个5厘米的胸廓切开术，该手术包括用新腱索和瓣环成形环进行二尖瓣修复、用生物瓣膜置换主动脉瓣以及三尖瓣环成形术。手术成功完成，未输血且无任何并发症。
