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Ann Thorac Surg 1990;50:836-837
© 1990 The Society of Thoracic Surgeons

Articles

Mitral prosthetic replacement in small left atria

C. Campanella, MD*, E. Cameron, FRCS(Ed), V.L. Feilberg, MD

Cardiac Surgical Unit, University of Edinburgh Medical School, Edinburgh, Scotland

Accepted for publication July 18, 1990.

* Address reprint requests to Mr Campanella, Cardiac Surgery Unit, Royal Infirmary, Lauriston Place, Edinburgh EH3 9YW, Scotland.

A modified transseptal approach for exposure of the difficult mitral valve is described. This allows the surgeon to visualize the valve, especially during prosthetic replacement, in the presence of a small, friable, or noncompliant left atrium.




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