title: Superior biatrial septotomy and beating heart approach for aortic and mitral valve replacement in a patient with refractory cardiac failure.
abstract: Time-consuming and complex cardiac surgery remains a challenge in patients with impaired ventricular function and consequently necessary prolonged cardioplegic arrest may jeopardize a fragile myocardial status. The case is reported of a 63-year-old male patient with low left ventricular ejection fraction (LVEF) and history of refractory cardiac failure who successfully underwent a beating heart aortic and mitral valve replacement through a superior biatrial septotomy. Technical considerations and advantages related to this specific surgical access combined with a beating heart approach are discussed.
authors.affiliation: Department of Cardiovascular Surgery, Hôpital Bon-Secours, Metz, France. dderouck@mac.com
authors.forename: D
authors.initials: D
authors.lastname: Derouck
authors.forename: D
authors.initials: D
authors.lastname: Grandmougin
authors.forename: M Chr
authors.initials: MC
authors.lastname: Delolme
mesh_terms: D001022:Aortic Valve Insufficiency / Q000150:complications / Q000503:physiopathology* / Q000601:surgery*; D054087:Atrial Septum / Q000601:surgery*; D006325:Heart Atria / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery*; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000503:physiopathology* / Q000601:surgery*; D013997:Time Factors