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

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