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Date Published: 24/10/2025
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DOI: 10.47972/vjcts.v53i.1553
Issue
Vol. 53
Section
Research Article
How to Cite
Nguyen, S. H., Nguyen, A. H., Ngo, T. H., & Nguyen, M. N. (2025). 3D endoscopic minimally invasive surgery for combined mitral and aortic valve disease: a case series. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 53, 135 - 142. https://doi.org/10.47972/vjcts.v53i.1553

3D endoscopic minimally invasive surgery for combined mitral and aortic valve disease: a case series

Sinh Hien Nguyen1,2, , Anh Huy Nguyen1, Thanh Hung Ngo1,2, Minh Ngoc Nguyen
1 Hanoi Heart Hospital
2 Hanoi National University

Main Article Content

Abstract

Background: Minimally invasive surgery with 3D endoscopy has been routinely adopted in many cardiac centers in Vietnam. The benefits of minimally invasive/endoscopic surgery in single-valve disease have been well established. This study aimed to evaluate the efficacy, safety, and feasibility of 3D endoscopic minimally invasive surgery in the treatment of combined multivalve disease.


Patients and Methods: Six patients, mean age 54.2 years (range 36–70), underwent 3D endoscopic minimally invasive surgery including aortic valve replacement and mitral valve repair/replacement, with or without concomitant tricuspid annuloplasty. Cardiopulmonary bypass was established via femoral cannulation. Intraoperative and postoperative parameters including cardiopulmonary bypass time, aortic cross-clamp time, complications, ICU stay, and hospital stay were recorded.


Results: There was no mortality. One patient required conversion to full sternotomy. The mean cardiopulmonary bypass time was 190.5 minutes, and mean aortic cross-clamp time was 150.5 minutes. The mean duration of mechanical ventilation was 15.3 hours, ICU stay 4.3 days, and postoperative hospital stay 10.5 days. Transthoracic echocardiography before discharge confirmed satisfactory valve function in all patients.


Conclusion: Minimally invasive surgery with 3D endoscopic assistance for the treatment of multivalvular heart disease is an effective, feasible, and safe approach in most cases. However, this technique still poses certain challenges and should be applied with caution, especially during the initial implementation phase. It may be considered a viable alternative to full sternotomy in selected patients, provided that adequate equipment and experienced surgical teams are available.

Keywords

Minimally invasive cardiac surgery, 3D endoscopy, multivalve heart disease, valve replacement and repair

Article Details

References

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