title: [Transseptal approach to the left atrium].
abstract: The authors present their first experience with trans-septal access to the left atrium, employed in 22 procedures of mitral valve surgery and in 4 myxoma extirpations. The majority of cases were re-operations or combined procedures, performed most often in connection with tricuspid valve annuloplasty. There were two deaths (7.6%), serious arrhythmias or signs of an intra-atrial shunt were not seen in any of the patients undergoing surgery. Trans-septal access allows thorough orientation in the left atrium, and the authors find it useful especially in re-operations or combined procedures.
authors.affiliation: Klinika kardiovaskulární a transplantacní chirurgie, Institut klinické a experimentální medicíny, Praha, Ceská republika.
authors.forename: J
authors.initials: J
authors.lastname: Hejnal
authors.forename: J
authors.initials: J
authors.lastname: Pirk
authors.forename: M
authors.initials: M
authors.lastname: Florián
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006338:Heart Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D009232:Myxoma / Q000601:surgery; D011183:Postoperative Complications
vernacular_title: Transseptální prístup do levé sínĕ.