Efficacy, feasibility, and pitfalls of transseptal approach in beating-heart mitral valve surgery

Tomas A Salerno; Maria R Suarez; Anthony L Panos; Francisco Igor B Macedo; Julia Alba; Michael Brown; Marco Ricci

doi:10.1111/j.1540-8191.2009.00860.x

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Efficacy, feasibility, and pitfalls of transseptal approach in beating-heart mitral valve surgery

Journal article

Peer reviewed

Efficacy, feasibility, and pitfalls of transseptal approach in beating-heart mitral valve surgery

Tomas A Salerno, Maria R Suarez, Anthony L Panos, Francisco Igor B Macedo, Julia Alba, Michael Brown and Marco Ricci

Journal of cardiac surgery, Vol.24(5), pp.495-498

09/2009

DOI: 10.1111/j.1540-8191.2009.00860.x

PMID: 19740282

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Abstract

Mitral valve surgery can be performed through the trans-atrial or the trans-septal approach. Although the trans-atrial is the preferred method, the trans-septal approach has also been used recently and has a particular value in beating-heart mitral valve surgery. Herein we report our experience with beating-heart mitral valve surgery via trans-septal approach, and discuss its advantages and pitfalls. Between 2000 and 2007, 214 patients underwent mitral valve procedures using the beating-heart surgical approach. One hundred and forty-three patients (66.8%) had mitral valve replacement, 68 patients (31.7%) mitral valve repair, and 82 patients (38.3%) concomitant valve procedures. Coronary artery bypass grafting was simultaneously performed in 30 (14%) patients. Thirty-day mortality was 7.4%, reoperation for bleeding 7%, stroke 0.4%, and myocardial infarction 0.4%, and failed mitral valve repair 0.9%. Our experience suggests that beating-heart mitral valve surgery is facilitated by using the trans-septal approach.

Heart Atria - pathology

Humans

Heart Septum - pathology

Heart Valve Prosthesis Implantation - mortality

Mitral Valve - surgery

Aortic Valve - surgery

Florida

Heart Atria - surgery

Aortic Valve - pathology

Feasibility Studies

Coronary Artery Bypass - adverse effects

Heart Valve Prosthesis Implantation - statistics & numerical data

Coronary Artery Bypass - mortality

Heart Valve Prosthesis Implantation - adverse effects

Coronary Artery Bypass - statistics & numerical data

Mitral Valve - pathology

Heart Septum - surgery

Details

Title: Subtitle: Efficacy, feasibility, and pitfalls of transseptal approach in beating-heart mitral valve surgery
Creators: Tomas A Salerno - Division of Cardiothoracic Surgery and Perfusion, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida 33136, USA. tsalerno@med.miami.edu
Maria R Suarez
Anthony L Panos
Francisco Igor B Macedo
Julia Alba
Michael Brown
Marco Ricci
Resource Type: Journal article
Publication Details: Journal of cardiac surgery, Vol.24(5), pp.495-498
Publisher: United States
DOI: 10.1111/j.1540-8191.2009.00860.x
PMID: 19740282
ISSN: 0886-0440
eISSN: 1540-8191
Language: English
Date published: 09/2009
Academic Unit: Surgery; Cardiothoracic Surgery
Record Identifier: 9984051730202771

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