Totally thoracoscopic approach for morphologic tricuspid valve replacement in congenitally corrected transposition of great arteries: The first case report in China
- VernacularTitle:中国首例全胸腔镜下矫正型大动脉转位形态三尖瓣置换术
- Author:
Tongkai GE
1
,
2
;
Chaolong ZHANG
1
,
2
;
Junfei ZHAO
1
,
2
;
Dandong LUO
1
,
2
;
Huanlei HUANG
1
,
2
Author Information
1. Department of Cardiac Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, P. R. China
2. Guangdong Cardiovascular Institute, Guangzhou, 510080, P. R. China
- Publication Type:Journal Article
- Keywords:
Congenitally corrected transposition of great arteries;
morphologic tricuspid valve regurgitation;
totally thoracoscopic;
tricuspid valve replacement
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(12):1792-1795
- CountryChina
- Language:Chinese
-
Abstract:
A 23-year-old male patient was diagnosed with congenitally corrected transposition of great arteries (ccTGA) at the age of 3 years during a routine physical examination. Due to the absence of significant symptoms, the patient was managed conservatively with follow-up without surgical treatment. He developed chest tightness one year prior to admission, with symptom exacerbation in the recent month. Echocardiography demonstrated significantly worsened morphological tricuspid regurgitation. The patient presented to Guangdong Provincial People’s Hospital for surgical evaluation. Given the patient’s age and clinical presentation, a totally thoracoscopic morphological tricuspid valve replacement was performed. Postoperative assessment showed good prosthetic valve function, with no regurgitation or paravalvular leakage; the electrocardiogram confirmed sinus rhythm without atrioventricular block. Extubation occurred within 12 hours postoperatively, and the patient was transferred from the intensive care unit (ICU) on postoperative day 2. At the three-month follow-up, the patient was asymptomatic and had resumed normal activities. This report describes the first case of a totally thoracoscopic morphological tricuspid valve replacement in a ccTGA patient in China. This initial experience suggests that the totally thoracoscopic approach for morphological tricuspid valve replacement in ccTGA patients is a feasible, safe, and effective minimally invasive option associated with rapid recovery.
