Abstract:
:We describe our experience with the transseptal approach for mitral valve replacement, a technique that we applied especially in cases of 3rd and 4th operations wherein numerous adhesions made the usual left atrial approach difficult. We report 39 cases of mitral procedures in which we used 3 slightly different transseptal approaches, depending on the cardiac anatomy and the preferences of the surgeon. There were no complications associated with any of these approaches. Indeed they made the mitral valve procedure easier, because they enabled full exposure of the mitral valvular and subvalvular apparatus. We also propose the transseptal approach as a very safe and reproducible technique for use in patients with friable tissues, heavily calcified mitral valves, or small left atria- and in patients who must undergo combined tricuspid and mitral procedures. In this series, there were no conduction abnormalities secondary to the approach, nor were there any procedure-related deaths.
journal_name
Tex Heart Inst Jjournal_title
Texas Heart Institute journalauthors
Santibáñez Escobar F,Serrano Gallardo G,Ramirez Marroquin S,Lopez Soriano F,Barragán García Rsubject
Has Abstractpub_date
1997-01-01 00:00:00pages
209-14issue
3eissn
0730-2347issn
1526-6702journal_volume
24pub_type
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