T-shaped Transseptal Approach for Mitral Valve Surgery

Author:

El Beyrouti Hazem1,Kornberger Angela1,Oberhoffer Martin1,Vahl Christian-Friedrich1

Affiliation:

1. Department of Cardiothoracic and Vascular Surgery, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany

Abstract

AbstractWe present a T-shaped transseptal approach for mitral valve surgery that makes adequate exposure possible under challenging anatomic and surgical circumstances, hence eliminating the need for forceful retraction on potentially fragile tissues. Particularly suited for patients with complex mitral pathology, it also facilitates juxta-annular transseptal right atrial anchoring, especially in cases of endocarditic anterior mitral annular destruction.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery

Reference5 articles.

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2. The superior approach to the mitral valve. A review of clinical experience;D S Saksena;Ann Thorac Surg,1971

3. Combined superior-transseptal approach to the left atrium;E Berreklouw;Ann Thorac Surg,1991

4. Extended vertical transatrial septal approach to the mitral valve;G M Guiraudon;Ann Thorac Surg,1991

5. Juxta-annular right atrial anchoring of prosthetic mitral valves in endocarditis with anterior annulus destruction;H El Beyrouti;Eur J Cardiothorac Surg,2019

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