title: Mitral valve reoperation through the left atrial appendage in a patient with mesocardia.
abstract: We report the case of a patient with mesocardia, mitral restenosis, and mitral regurgitation. He had undergone an open mitral valvotomy 4 years earlier and, therefore, presented us with a problematic approach to the mitral valve. In such cases, access to the mitral valve is almost impossible due to the position of the valve, which is more posterior and to the left of a normal valve, and due to adhesions from the previous surgery We approached the mitral valve through the left atrial appendage and replaced the mitral valve with a mechanical prosthesis.
authors.affiliation: Institute of Cardiovascular Diseases, Dr. J J Nagar, Mogappair, Chennai-600 050, India. somaguhathakurta@hotmail.com
authors.forename: Soma
authors.initials: S
authors.lastname: Guhathakurta
authors.forename: V M
authors.initials: VM
authors.lastname: Kurian
authors.lastname: Manmohan
authors.forename: K M
authors.initials: KM
authors.lastname: Cherian
mesh_terms: D000328:Adult; D020517:Atrial Appendage / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000150:complications*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery*; D012086:Reoperation / Q000379:methods