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
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
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