Goto Yoshihiro, Imagawa Atsuki, Takagi Sho, Yanagisawa Junji, Okawa Yasuhide
Cardiac Surgery, Toyohashi Heart Center, Toyohashi, JPN.
Cureus. 2025 Jun 15;17(6):e86081. doi: 10.7759/cureus.86081. eCollection 2025 Jun.
Endoscopic cardiac surgery offers favorable early outcomes because of its minimally invasive nature. However, its application in combined aortic and mitral valve procedures remains limited owing to differences in optimal visualization angles and the technical complexity of the procedure. A septuagenarian woman (body surface area 1.2 m) with severe mitral stenosis, atrial fibrillation, and aortic valve papillary fibroelastoma, who was wheelchair-bound, underwent endoscopic double-valve surgery. Preoperative computed tomography revealed that a single camera port did not provide optimal visualization. Therefore, we employed a dual-camera port setup to facilitate safe mitral valve replacement and aortic tumor resection. The patient recovered uneventfully and was discharged on postoperative day seven. The dual-camera port approach improves visualization and maneuverability in totally endoscopic double-valve surgery, offering a minimally invasive and effective alternative for complex cases, particularly in high-risk patients.
内镜心脏手术因其微创特性而具有良好的早期效果。然而，由于最佳可视化角度的差异以及手术的技术复杂性，其在主动脉瓣和二尖瓣联合手术中的应用仍然有限。一名患有严重二尖瓣狭窄、心房颤动和主动脉瓣乳头状纤维弹性瘤的老年女性（体表面积1.2平方米），需借助轮椅行动，接受了内镜双瓣膜手术。术前计算机断层扫描显示，单摄像头端口无法提供最佳可视化效果。因此，我们采用了双摄像头端口设置，以利于安全地进行二尖瓣置换和主动脉肿瘤切除。患者恢复顺利，术后第七天出院。双摄像头端口方法改善了全内镜双瓣膜手术中的可视化和可操作性，为复杂病例，尤其是高危患者提供了一种微创且有效的替代方案。
