We describe a minimally invasive heart surgery application of the EinsteinVision 2.0 3D high-definition endoscopic system (Aesculap AG, Tuttlingen, Germany) in an 81-year-old man with severe tricuspid valve insufficiency. Fourteen years ago, he underwent a Ross procedure followed by a DDD pacemaker implantation 4 years later for tachy-brady-syndrome. His biventricular function was normal. We recommended minimally invasive tricuspid valve repair. The application of the aformentioned endoscopic system was simple, and the impressive 3D depth view offered an easy and precise manipulation through a minimal thoracotomy incision, avoiding the need for a rib spreading retractor.
From the Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart GmbH, Stuttgart, Germany.
Accepted for publication January 14, 2015.
Disclosures: Nicolas Doll, MD, PhD, is a consultant for AtriCure, Inc., West Chester, OH USA. Tamas Ruttkay, MD, Julia Götte, MD, and Ulrike Walle, MD, declare no conflicts of interest.
Address correspondence and reprint requests to Tamas Ruttkay, MD, Department of Cardiac Surgery, Sana Cardiac Surgery Stuttgart GmbH, Herdweg 2, 70174 Stuttgart, Germany. E-mail: firstname.lastname@example.org.