title: Extended trans-septal and left atrial dome incision combined with Manouguian's aortotomy for complex double valve surgery.
abstract: We describe a novel surgical approach combining a trans-septal, left atrium dome incision and Manouguian incision to facilitate complex double valve (aortic and mitral) surgery. This technique provides an excellent surgical exposure and good outcomes.
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University, New York, NY, USA takishi@hotmail.com.
authors.forename: Takashi
authors.initials: T
authors.lastname: Nishimura
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University, New York, NY, USA.
authors.forename: Takeyoshi
authors.initials: T
authors.lastname: Ota
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University, New York, NY, USA.
authors.forename: Hiroo
authors.initials: H
authors.lastname: Takayama
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University, New York, NY, USA.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Naka
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D004696:Endocarditis / Q000601:surgery; D006325:Heart Atria / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*
keywords: Aortic valve replacement; Mitral valve replacement; Reoperation