# Totally endoscopic periareolar approach for mitral valve repair. First case reported in Peru

## TL;DR

A 39-year-old man with severe heart valve issues underwent a new minimally invasive surgical technique in Peru.

## Contribution

This is the first reported case of totally endoscopic periareolar mitral valve repair in Peru.

## Key findings

- The patient had severe mitral and tricuspid valve regurgitation.
- Surgical repair was successfully performed using a totally endoscopic periareolar approach.
- The patient's postoperative recovery was satisfactory.

## Abstract

We present the case of a 39-year-old man with a history of progressive dyspnea. Transthoracic and transesophageal echocardiography revealed severe mitral valve (MV) regurgitation due to P2 flail as well as severe tricuspid valve (TV) regurgitation. The patient underwent surgical treatment, including MV repair and TV annuloplasty, performed through a totally endoscopic periareolar approach. Postoperative evolution was satisfactory.