The Annals of Thoracic Surgery, Vol 50, 318-319, Copyright © 1990 by The Society of Thoracic Surgeons
Biatrial transseptal approach in case of difficult exposure to the mitral valve
A Deloche, C Acar, V Jebara, JN Fabiani and A Carpentier
Departement de Chirurgie Cardiovasculaire, Hopital Broussais, 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.