Hostname: page-component-54dcc4c588-54gsr Total loading time: 0 Render date: 2025-10-05T20:59:44.017Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of right axillary thoracotomy approach for minimally invasive tricuspid valve repair in the setting of paediatric infective endocarditis

Published online by Cambridge University Press:  03 October 2025

Aanya Chopra Open the ORCID record for Aanya Chopra [Opens in a new window] ,
Lindsay Nitsche ,
Nikia Toomey ,
Katsuhide Maeda  and
Constantine Mavroudis
Aanya Chopra*
Affiliation:
Division of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Lindsay Nitsche
Affiliation:
Division of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Nikia Toomey
Affiliation:
Division of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Katsuhide Maeda
Affiliation:
Division of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Constantine Mavroudis
Affiliation:
Division of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
*
Corresponding author: Aanya Chopra; Email: chopraaa@chop.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Tricuspid valve repair in paediatric infective endocarditis using a right axillary thoracotomy approach has never been reported. This report describes the minimally invasive treatment of infective endocarditis using this approach in a previously healthy paediatric patient. The patient underwent successful tricuspid valve repair and was discharged with an outpatient antibiotic regimen. He remains well seven months postoperatively.

Keywords

Minimally invasive valve repairtricuspid valve repairpaediatric infective endocarditisthoracotomy

Information

Type
Case Report
Information
Cardiology in the Young , Volume 35 , Issue 9 , September 2025 , pp. 1956 - 1958
Check for updates
Copyright
© The Author(s), 2025. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Carrillo, SA, Duenas, H, Blaney, C et al. Surgical outcomes of infective endocarditis in pediatrics: moving the needle to a contemporary, multidisciplinary approach. J Thorac Cardiov Sur 2023; 165: 275–284.CrossRefGoogle Scholar
Vicent, L, Luna, R, Martínez-Sellés, M. Pediatric infective endocarditis: a literature review. J Clin Med 2022; 11: 3217.CrossRefGoogle ScholarPubMed
Shamszad, P, Khan, MS, Rossano, JW et al. Early surgical therapy of infective endocarditis in children: a 15-year experience. J Thorac Cardiov Surg 2013; 146: 506–511.CrossRefGoogle ScholarPubMed
Dodge-Khatami, J, Dodge-Khatami, A, Nguyen, TD et al. Minimal invasive approaches for pediatric & congenital heart surgery: safe, reproducible, more cosmetic than through sternotomy, and here to stay. Transl Pediatr 2023; 12: 1744–1752.CrossRefGoogle ScholarPubMed
Khoo, B, Buratto, E, Fricke, TA et al. Outcomes of surgery for infective endocarditis in children: a 30-year experience. J Thorac Cardiov Surg 2019; 158: 1399–1409.CrossRefGoogle ScholarPubMed
Zukowska, A, Zukowski, M. Surgical site infection in cardiac surgery. J Clin Med 2022; 11: 6991.CrossRefGoogle ScholarPubMed
Dodge-Khatami, A, Gil-Jaurena, J-M, Hörer, J et al. Over 3,000 minimally invasive thoracotomies from the European congenital heart surgeons association for quality repairs of the most common congenital heart defects: safe and routine for selected repairs. World J Pediatr Congenit Heart Surg 2025, 16(5): 578–584.CrossRefGoogle ScholarPubMed
Dodge-Khatami, J, Dodge-Khatami, A. Advantages of a mini right axillary thoracotomy for congenital heart defect repair in children. Cardiol Young 2021; 32: 276–281.CrossRefGoogle ScholarPubMed
Alnajar, A, Chatterjee, S, Olive, JK et al. Outcomes of minimally invasive isolated tricuspid valve repair and replacement through right mini-thoracotomy. J Thoracic Cardiova Sur Open 2024; 17: 98–110,Google ScholarPubMed
Barbero, C, Pocar, M, Brenna, D et al. Minimally invasive surgery: standard of care for mitral valve endocarditis. Medicina, 2023.Google ScholarPubMed
Suzuki, Yoshikazu. Left thoracotomy for multiple-time redo mitral valve surgery using on-pump beating heart technique. Ann Thorac Surg 2008, 86(2): 466–471.CrossRefGoogle ScholarPubMed