| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1995;60:426-430
© 1995 The Society of Thoracic Surgeons
Department of Cardiovascular Diseases and Biomedical Statistics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
Accepted for publication April 26, 1995.
Background. Mitral valve operations require excellent exposure. The description of an extended vertical transseptal atriotomy by Guiraudon and associates promises to provide optimal exposure of the mitral valve. A prospective study was carried out to evaluate the merits of the extended vertical transseptal atriotomy in comparison with the conventional left atriotomy for mitral valve operations.
Methods. Conventional atriotomy was performed in 24 patients (group I) whereas 65 patients underwent the extended vertical transseptal approach (group II). They were similar in age, sex, cause of disease, New York Heart Association functional class, left atrial size, and left ventricular function. The early postoperative rhythm changes in these two groups were compared. Statistical studies to analyze the significance of incidence of junctional arrhythmia in these two groups were carried out.
Results. Of the 24 patients in group I, 3 had development of transient junctional rhythm after operation, lasting less than 24 hours. None had this arrhythmia at the time of discharge. Of the 65 patients in group II, junctional rhythm was documented in 25, with a rate of occurrence of 38% (95% confidence interval, 27.6% to 52.2%). At the 6-week follow-up, 3 patients still had this junctional rhythm, with a failure to recover rate of 12% (3 of 25).
Conclusions. The surgical exposure was considered excellent and closure of the atriotomy was thought to be easy in group II. However, this should be balanced against a significant (38%) incidence of transient junctional rhythm in the early postoperative period in group II, probably from injury to sinus node artery or atrial conduction pathways.
This article has been cited by other articles:
|
|
 |
|
  T. Gudbjartsson, T. Absi, and S. Aranki Mitral Valve Replacement Card. Surg. Adult, January 1, 2008; 3(2008): 1031 - 1068. [Full Text]
|
|
|
|
|
|
H. V. Schaff and R. M. Suri Multiple Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 1129 - 1158. [Full Text]
|
|
|
|
 |
|
 P. Lukac, V. E. Hjortdal, A. K. Pedersen, P. T. Mortensen, H. K. Jensen, and P. S. Hansen Superior Transseptal Approach to Mitral Valve Is Associated With a Higher Need for Pacemaker Implantation Than the Left Atrial Approach Ann. Thorac. Surg., January 1, 2007; 83(1): 77 - 82. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. J. Nienaber and D. D. Glower Minitransseptal versus left atrial approach to the mitral valve: a comparison of outcomes. Ann. Thorac. Surg., September 1, 2006; 82(3): 834 - 839. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. A. Garcia-Villarreal, R. Gonzalez-Oviedo, H. Rodriguez-Gonzalez, and H. D. Martinez-Chapa Superior septal approach for mitral valve surgery: a word of caution Eur. J. Cardiothorac. Surg., December 1, 2003; 24(6): 862 - 867. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Gaudino, G. Nasso, A. Minati, A. Salica, N. Luciani, M. Morelli, and G. Possati Early and late arrhythmias in patients in preoperative sinus rhythm submitted to mitral valve surgery through the superior septal approach Ann. Thorac. Surg., April 1, 2003; 75(4): 1181 - 1184. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-F. Legare, K. J. Buth, R. C. Arora, D. A. Murphy, J. A. Sullivan, and G. M. Hirsch The dome of the left atrium: an alternative approach for mitral valve repair Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 272 - 276. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Gudbjartsson, S. Aranki, and L. H. Cohn Mechanical/Bioprosthetic Mitral Valve Replacement Card. Surg. Adult, January 1, 2003; 2(2003): 951 - 986. [Full Text]
|
|
|
|
|
|
H. V. Schaff and D. H. Marsh Multiple Valve Disease Card. Surg. Adult, January 1, 2003; 2(2003): 1017 - 1045. [Full Text]
|
|
|
|
|
|
H. Shin, R. Yozu, S. Higashi, and S. Kawada Sinus node function after mitral valve surgery using the superior septal approach Ann. Thorac. Surg., February 1, 2001; 71(2): 587 - 590. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Abuin, A. Nieponice, S. Martinez, and C. Fernando The role of atrial vessels in aortic root and mitral valve operations Ann. Thorac. Surg., October 1, 2000; 70(4): 1234 - 1237. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. M. Cosgrove III, J. F. Sabik, and J. L. Navia Minimally Invasive Valve Operations Ann. Thorac. Surg., June 1, 1998; 65(6): 1535 - 1538. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. K. W. Tam, C. Ho, and A. A. Almeida Minimally invasive mitral valve surgery J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 246 - 247. [Full Text] [PDF]
|
|
|
|
|
|
W. R. Chitwood Jr., C. L. Wixon, J. R. Elbeery, J. F. Moran, W. H. H. Chapman, and R. M. Lust VIDEO-ASSISTED MINIMALLY INVASIVE MITRAL VALVE SURGERY J. Thorac. Cardiovasc. Surg., November 1, 1997; 114(5): 773 - 782. [Abstract] [Full Text]
|
|
|
|
|
|
M. Gaudino, F. Alessandrini, F. Glieca, L. Martinelli, P. Santarelli, P. Bruno, and G. Possati Conventional Left Atrial Versus Superior Septal Approach for Mitral Valve Replacement Ann. Thorac. Surg., April 1, 1997; 63(4): 1123 - 1127. [Abstract] [Full Text]
|
|
|
|
|
|
J. L. Navia and D. M. Cosgrove III Minimally Invasive Mitral Valve Operations Ann. Thorac. Surg., November 1, 1996; 62(5): 1542 - 1544. [Abstract] [Full Text]
|
|
|
|
|
|
M. Masuda, R. Tominaga, Y. Kawachi, F. Fukumura, S. Morita, Y. Imoto, Y. Toshima, Y. Tomita, and H. Yasui Postoperative Cardiac Rhythms With Superior-Septal Approach and Lateral Approach to the Mitral Valve Ann. Thorac. Surg., October 1, 1996; 62(4): 1118 - 1122. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
