T-shaped Transseptal Approach for Mitral Valve Surgery

Abstract

We 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.

Keywords

surgery - mitral - technique - heart - endocarditis - right atrial anchoring - mitral valve

Ethics Approval and Consent for Publication

Not applicable.

Publikationsverlauf

Eingereicht: 11. Oktober 2019

Angenommen: 19. Dezember 2019

Artikel online veröffentlicht:
20. April 2020

• References

• 1 Dubost C, Guilmet D, de Parades B, Pedeferri G. Nouvelle technique d'ouverture de l'oreillette gauche en chirurgie à coeur ouvert: l'abord bi-auriculaire transseptal. Presse Med 1966; 74 (30) 1607-1608
• 2 Saksena DS, Tucker BI, Lindesmith GG, Nelson RM, Stiles QR, Meyer BW. The superior approach to the mitral valve. A review of clinical experience. Ann Thorac Surg 1971; 12 (02) 146-153
• 3 Berreklouw E, Ercan H, Schönberger JP. Combined superior-transseptal approach to the left atrium. Ann Thorac Surg 1991; 51 (02) 293-295
• 4 Guiraudon GM, Ofiesh JG, Kaushik R. Extended vertical transatrial septal approach to the mitral valve. Ann Thorac Surg 1991; 52 (05) 1058-1060 , discussion 1060–1062
• 5 El Beyrouti H, Kornberger A, Beiras-Fernandez A, Vahl C-F. Juxta-annular right atrial anchoring of prosthetic mitral valves in endocarditis with anterior annulus destruction. Eur J Cardiothorac Surg 2019; 56 (04) 807-808