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Glenn J.R. Whitman
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Ann Thorac Surg 1984;38:644-645
© 1984 The Society of Thoracic Surgeons

Articles

A Safe Approach to Left Ventriculotomy

John G. Hunter, M.D., Glenn J.R. Whitman, M.D., Alden H. Harken, M.D.*

Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA

Accepted for publication April 9, 1984.

* Address reprint requests to Dr. Harken, Department of Surgery, University of Colorado Health Sciences Center, Box C305, 4200 E Ninth Ave, Denver, CO 80262

Left ventriculotomy through an anatomically normal left ventricle is an increasingly frequent clinical necessity. In this regard, it is important to envision the epicardial projection of the papillary muscle in order to avoid injuring it. One should open the ventricle from the base (parallel to the left anterior descending or posterior descending coronary artery) and extend the incision apically while continuously palpating the papillary muscle.






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