Tricuspid Valve Surgery

The tricuspid valve, often referred to as the “forgotten valve,” is located between the right atrium and the right ventricle. It plays a crucial role in ensuring blood flows in the correct direction through the heart. Tricuspid valve problems, such as regurgitation (leakage) or stenosis (narrowing), can lead to serious health issues, including heart failure.

Approaches
Minimally Invasive

Mini-thoracotomy

A 4-6 cm incision between the 2nd and 3rd ribs without touching the chest bone.

Favoured by patients for its minimal invasiveness.

Totally endoscopic surgery

Performed through a tiny incision (3-5 cm) between the ribs, without cutting or mobilising any bone.

Utilises an endoscopic camera for enhanced precision.

Open Heart

Full sternotomy

Involves a vertical incision along the chest to open the chest bone.

Provides the surgeon with a direct and unobstructed view of the heart and mitral valve.

Allows for comprehensive treatment of complex heart conditions that may not be suitable for minimally invasive techniques.

Conditions treated
Minimally Invasive
  • Tricuspid Valve Regurgitation
  • Tricuspid Valve Stenosis
Open Heart
  • Tricuspid Valve Regurgitation
  • Tricuspid Valve Stenosis
  • Complex Tricuspid Valve Disease with Multiple Co-Existing Diseases
What to expect
Before Surgery

Minimally Invasive & Open Heart

  • Thorough assessment including medical history, physical examination, and advanced imaging (e.g., echocardiogram, CT scan).
  • Consultation with (Adj) Professor Theo Kofidis to explore minimally invasive & open heart options, their potential benefits & risks, and if patient qualifies for minimally invasive surgery.
During Surgery

Minimally Invasive

  • General anaesthesia administered for comfort.
  • Precise repair or replacement of the tricuspid valve through small incisions, minimising tissue trauma.

Open Heart

  • General anaesthesia administered for comfort.
  • Tricuspid valve repair or replacement performed through open-heart surgery, which involves opening the chest cavity.
After Surgery

Minimally Invasive

  • Usually 1 day in ICU & 3-4 days in general ward.
  • Faster mobilisation and return to daily activities.
  • Follow-up appointments to monitor healing progress and overall cardiac health.

Open Heart

  • Usually 2 days in ICU & 5-7 days in general ward.
  • Slower mobilisation while in recovery.
  • Follow-up appointments to monitor healing progress and overall cardiac health.
Benefits
Minimally Invasive
  • Smaller incisions
  • Minimal scarring
  • Faster mobilisation & improved recovery
  • Less infection
  • Less blood loss
  • Less trauma
  • Less arrhythmia
  • Better lung function in the early stage
  • Better cosmetic effect
Open Heart
  • Suitability in certain complex & high-risk cases
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