[Combined superior-transseptal approach to the mitral valve].
We report a technique to improve exposure of the mitral valve apparatus. This technique that combines superior left atriotomy and interatrial septotomy can be helpful in patients with a small left atrium and reoperation. It has been used effectively in five patients and potential complication with this procedure has not occurred. The operative technique and indication are discussed in this paper.
Hioki
M
M
Second Department of Surgery, Nippon Medical School.
Iedokoro
Y
Y
Yamauchi
S
S
Asano
T
T
Matsushima
S
S
Ikeshita
M
M
Tanaka
S
S
Shoji
T
T
D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery*; D012214:Rheumatic Heart Disease / Q000150:complications*