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Michael J. Tolan
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Ann Thorac Surg 1995;60:1432-1433
© 1995 The Society of Thoracic Surgeons

How To Do It

Biatrial Inferior Transseptal Approach to the Mitral Valve

Jean Paul A. Couetil, MD, Ahmad Ramsheyi, MD, Michael J. Tolan, Frcs(i), Didier F. Loulmet, MD, Jean François Verrier, MD, Alain F. Carpentier, MD, PhD

Department of Cardiovascular Surgery, Hospital Broussais, Paris, France

Accepted for publication June 29, 1995.

The standard surgical approach to the mitral valve is via a longitudinal incision in the left atrium. This is applicable in the vast majority of patients. In cases of small left atrium with poor exposure the standard incision may be modified. We report a biatrial inferior transseptal approach that we have employed in 25 patients over a 2-year period. The technique is simple to execute and is without risk to surrounding structures.




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