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Christophe Acar
Victor Jebara
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Ann Thorac Surg 1990;50:318-319
© 1990 The Society of Thoracic Surgeons

Articles

Biatrial transseptal approach in case of difficult exposure to the mitral valve

Alain Deloche, MD*, Christophe Acar, MD, Victor Jebara, MD, Jean-Noël Fabiani, MD, Alain Carpentier, MD, PhD

Département de Chirurgie Cardiovasculaire, Hôpital Broussais, Paris, France

Accepted for publication April 30, 1990.

* Address reprint requests to Dr Deloche, Département de Chirurgie Cardiovasculaire, Hôpital Broussais, 96, rue Didot, 75014, Paris, France.

The biatrial transseptal approach according to the Dubost technique provides an excellent exposure to the mitral valve. Over a 5-year period (1984 to 1989) we used this approach in 210 patients. We believe that this incision is indicated in the following situations: reoperation on the mitral valve and acute mitral insufficiency with little enlargement of the left atrium.






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