Transaortic Repair as Bailout Procedure for Left Atrial Tear in Redo Mitral Valve Surgery via Superior Transseptal Approach.
We encountered a tear of the left atrium with severe calcification during redo mitral surgery, and report a technique for its repair. An 82-year-old woman underwent redo mitral valve replacement. The mitral valve was performed via a superior transseptal approach. The atriotomy was closed directly. The roof of the left atrium was found to be torn after aortic de-clamping. There was no remaining intact left atrial tissue on the aortic side. Patch closure was performed using transaortic stitches passing through the subaortic curtain to fix the patch. The left atrial roof and atrial septum were closed with the same patch.
Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. Electronic address: s-ohira@koto.kpu-m.ac.jp.
Suguru
S
Ohira
Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kiyoshi
K
Doi
Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Sachiko
S
Yamazaki
Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Hitoshi
H
Yaku
D000369:Aged, 80 and over; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography
Heart valve surgery; Mitral valve surgery; Reoperation