title: The transseptal approach to the mitral valve during multivalvular surgery.
abstract: OBJECTIVE
  We investigated the short and mid-term outcome of the transseptal approach to the mitral valve during multivalvular surgery.
  
  
  METHODS
  Within a three-year period ending in May 2010, we used the transseptal approach in performing mitral valve surgery in 62 patients. Procedures performed were: mitral valve replacement and tricuspid annuloplasty in 40 patients, both aortic and mitral valve replacement with tricuspid annuloplasty in 13 patients, mitral valve and tricuspid valve replacement in eight patients and mitral valve repair and tricuspid annuloplasty in addition to coronary artery bypass surgery in one patient.
  
  
  RESULTS
  There were no complications associated with the transseptal approach. There were no conduction abnormalities, nor were there any procedure-related deaths.
  
  
  CONCLUSIONS
  We conclude that use of the transseptal approach for mitral valve operations is simple and safe in patients necessitating right atriotomy for concomitant procedures.
authors: Department of Cardiovascular Surgery, Ozel Ege Hospital, Denizli, Turkey. drkaykut@hotmail.com
authors: Koray
authors: K
authors: Aykut
authors: Bulent
authors: B
authors: Celik
authors: Unal
authors: U
authors: Acıkel
mesh_terms: D001021:Aortic Valve / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery; D054088:Ventricular Septum / Q000601:surgery*