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Ann Thorac Surg 1992;54:1186-1188
© 1992 The Society of Thoracic Surgeons

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Articles

Optimal approach to the mitral valve: Dissection of the interatrial groove

^a Department of Surgery, Harvard Medical School, and Division of Cardiac Surgery, Brigham, USA
^b Women's Hospital, Boston, Massachusetts, USA

Accepted for publication April 13, 1992.

^_* Address reprint requests to Dr Cohn, Division of Cardiac Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

Surgical exposure of the mitral valve has challenged surgeons for more than 30 years. Many ingenious, but often complex approaches have been devised during this time. Using the dissection of the interatrial groove to bring the left atrial incision more anterior and medial, we have achieved excellent exposure in more than 300 mitral valve procedures. This simple technique does not lengthen the procedure and is not associated with an increased risk of either early or late morbidity.

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