{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T15:28:16Z","timestamp":1793633296171,"version":"4.5.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"11-12","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Data on minimally invasive tricuspid valve (TV) surgery for severe tricuspid regurgitation (TR) remain limited, particularly regarding long-term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective single-centre study included adult patients who underwent minimally invasive TV surgery through right mini-thoracotomy for severe TR as the primary indication between 1996 and 2024. Patients with endocarditis or tricuspid stenosis, as well as those undergoing left-sided valve surgery, were excluded. The primary end-point was all-cause mortality during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 199 patients with a median age of 70.0 years, including 110 (55%) women, were analysed. Sixty-four (32%) had previous cardiac surgery. The median EuroSCORE II was 3.6% (1.8-6.0), and the median TRI-SCORE-predicted mortality was 5.0% (3.0-14.0). Three patients (1.5%) required conversion to sternotomy. Tricuspid valve repair was performed in 108 patients (54%). In-hospital mortality was 6% for the entire cohort (12\/199). Discharge echocardiography demonstrated no or mild residual TR in 176\/194 patients (91%). Estimated overall survival was 85% (95% confidence interval, 80%-90%) at 1 year, 69% (62%-75%) at 5 years, and 53% (46%-61%) at 10 years. Repeat TV surgery was recorded in 7 patients (4%). In multivariable analysis, older age, male sex, urgent\/emergent operation, atrial fibrillation\/flutter, diabetes mellitus, signs of right heart failure, lower glomerular filtration rate, and lower preoperative haemoglobin independently predicted mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Minimally invasive TV surgery for severe TR was associated with low conversion rates and provided good early and late outcomes. Repair was performed in over half of the patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag238","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:23:54Z","timestamp":1791199434000},"source":"Crossref","is-referenced-by-count":0,"title":["Minimally Invasive Tricuspid Valve Operations: Three Decades of Leipzig Experience"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4077-1232","authenticated-orcid":false,"given":"Piotr K","family":"Mazur","sequence":"first","affiliation":[{"name":"University Department of Cardiac Surgery, Leipzig Heart Center , Leipzig 04289,","place":["Germany"]},{"name":"Institute of Cardiology, Jagiellonian University Medical College , Krak\u00f3w 31-202,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Papakonstantinou","sequence":"additional","affiliation":[{"name":"University Department of Cardiac 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