# Totally endoscopic systemic atrioventricular valve re-replacement for congenitally corrected transposition of the great arteries: case report

## TL;DR

This paper reports a successful minimally invasive surgery to replace a heart valve in a patient with a rare heart condition.

## Contribution

The paper presents a novel endoscopic approach for re-replacement of the systemic atrioventricular valve in adults.

## Key findings

- Endoscopic SAVV re-replacement is feasible in adults with ccTGA.
- The approach overcomes unique technical challenges and provides good outcomes.
- A 47-year-old patient showed improvement after the procedure.

## Abstract

Congenitally corrected transposition of the great arteries (ccTGA) is often associated with systemic atrioventricular valve (SAVV) regurgitation and the dysfunction of the systemic ventricle.

We describe a case of a 47-year-old female who underwent SAVV replacement with bioprosthetic valve at 39-year-old through left thoracotomy approach. She developed dyspnoea on exertion and was recommended for surgery. We performed a totally three-dimensional endoscopic minimally invasive re-replacement of SAVV.

Endoscopic replacement of SAVV for an adult is possible with an excellent view. We describe our approach which has overcome unique technical hurdles and has yielded favourable outcomes.