{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:59:43Z","timestamp":1792652383900,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,1,5]],"date-time":"2020-01-05T00:00:00Z","timestamp":1578182400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Isolated tricuspid surgery through median sternotomy can be associated with a high morbidity and mortality. Reports of minimally invasive isolated tricuspid valve operations are rare, but the outcomes are encouraging. We present our experience of endoscopic isolated tricuspid valve surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In our institution, 452 patients underwent endoscopic minimal access cardiac surgery between August 2008 and December 2018. A total of 90 patients underwent tricuspid valve surgery whether isolated or with other cardiac procedure. We further selected patients who had isolated tricuspid valve surgery ( n = 24). Of these patients, 13 (54%) had more than one previous sternotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Tricuspid repair was performed in 18 patients (75%) with the remaining 6 (25%) having bioprosthetic tricuspid replacement. Three (12.5%) were performed with a beating heart, the remaining with endoaortic clamping and cardioplegia. There were no conversions to sternotomy. None of the patients had reoperation for bleeding, tamponade, or valve issues. Three patients (12.5%) required blood transfusion, 3 patients (12.5%) required renal dialysis, and 7 patients (29%) had respiratory complications such as chest infection, requiring continuous positive airway pressure (CPAP) with 2 being re-intubated. One patient (4.1%) died within 30 days from chest sepsis leading to multi-organ failure. Mean hospital stay was 11.1 \u00b1 8.9 days (median of 8). All patients had mild or less regurgitation on follow-up echo at 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Isolated tricuspid valve surgery can be performed through an endoscopic minimally access approach, with good results. It appears to provide better results than a sternotomy approach. A high repair rate can be achieved, and the procedure is particularly valuable in redo-surgery with low mortality and morbidity compared to historical sternotomy case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1556984519887946","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T01:47:02Z","timestamp":1578275222000},"page":"66-73","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Endoscopic Tricuspid Valve Surgery is a Safe and Effective Option"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0052-2568","authenticated-orcid":false,"given":"Abdelrahman","family":"Abdelbar","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Lancashire Heart Centre, Blackpool Victoria Hospital, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunaratnam","family":"Niranjan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Lancashire Heart Centre, Blackpool Victoria Hospital, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene","family":"Tennyson","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Lancashire Heart Centre, Blackpool Victoria Hospital, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palanikumar","family":"Saravanan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia, Lancashire Heart Centre, Blackpool Victoria Hospital, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Knowles","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia, Lancashire Heart Centre, Blackpool Victoria Hospital, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grzegorz","family":"Laskawski","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Lancashire Heart Centre, Blackpool Victoria Hospital, Manchester, UK"},{"name":"Department of Cardiovascular Surgery, Medical University of Gdansk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Zacharias","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Lancashire Heart Centre, Blackpool Victoria Hospital, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,1,5]]},"reference":[{"key":"bibr1-1556984519887946","first-page":"634","volume":"38","author":"Arsalan M.","year":"2017","journal-title":"Eur Heart 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