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Thorac Cardiovasc Surg 2020; 68(06): 507-509
DOI: 10.1055/s-0040-1702209
How to Do It

T-shaped Transseptal Approach for Mitral Valve Surgery

Hazem El Beyrouti
1   Department of Cardiothoracic and Vascular Surgery, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
,
Angela Kornberger
1   Department of Cardiothoracic and Vascular Surgery, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
,
Martin Oberhoffer
1   Department of Cardiothoracic and Vascular Surgery, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
,
Christian-Friedrich Vahl
1   Department of Cardiothoracic and Vascular Surgery, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
› Author Affiliations Funding The authors received no funding for the preparation of this manuscript.
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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.




Publication History

Received: 11 October 2019

Accepted: 19 December 2019

Article published online:
20 April 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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