Initial experience of minimally invasive triple valve surgery in a developing country

doi:10.5412/wjsp.118325

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World Journal of Surgical Procedures

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2219-2832

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Surg Proced. Sep 16, 2026; 16(2): 118325
Published online Sep 16, 2026. doi: 10.5412/wjsp.118325

Initial experience of minimally invasive triple valve surgery in a developing country

Abudar Al Ganadi, Ismail Al-Shameri, Naseem Alwsabi, Salem Bashraheel, Nada Alwsabi, Shams Mohammed, Wadhah Al-Fakih

Abudar Al Ganadi, Department of Cardiovascular and Kidney Transplant, Cardiovascular and Kidney Transplant Center, Taiz 00967, Yemen

Ismail Al-Shameri, Naseem Alwsabi, Nada Alwsabi, Shams Mohammed, Wadhah Al-Fakih, Department of Cardiovascular Surgery, Cardiovascular and Kidney Transplant Center, Taiz 00967, Yemen

Salem Bashraheel, Department of Anaesthesiology, Cardiovascular and Kidney Transplant Center, Taiz 00967, Yemen

Author contributions: Al Ganadi A and Al-Shameri I contributed to study design, data analysis, and manuscript writing; Al-Shameri I, Alwsabi N, Mohammed S, and Al-Fakih W contributed to data collection; Bashraheel S contributed to anesthesia management and manuscript review; Alwsabi N prepared tables and figures; and all authors reviewed and approved the final manuscript.

Institutional review board statement: This study was approved by the Medical Ethics Committee of Cardiovascular and Kidney Transplantation Center, Taiz University, approval No. 081126.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Corresponding author: Ismail Al-Shameri, MD, Department of Cardiovascular Surgery, Cardiovascular and Kidney Transplant Center, Al Ashbat Street, Taiz 00967, Yemen. ismailsamer@taiz.edu.ye

Received: January 6, 2026
Revised: January 23, 2026
Accepted: March 5, 2026
Published online: September 16, 2026
Processing time: 257 Days and 6.7 Hours

Core Tip

Core Tip: Minimally invasive triple valve surgery is rarely reported, particularly in developing countries with limited resources. This retrospective study presents the early experience with concomitant minimally invasive aortic and mitral valve replacement, combined with tricuspid valve repair, via a right mini-thoracotomy. Despite prolonged operative times, the procedure demonstrated excellent early outcomes, no mortality, and rapid postoperative recovery. These findings support the feasibility of minimally invasive multi-valve surgery in carefully selected patients, even in resource-constrained environments.