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Ann Thorac Surg 1998;66:275-276
© 1998 The Society of Thoracic Surgeons

How to Do It

Modified biatrial approach for the extensive resection of left atrial myxomas

Massimo Massetti, MDa, Gerard Babatasi, MD, PhDa, Olivier Le Page, MDa, Satar Bhoyroo, MDa, Andre Khayat, MDa

a Department of Thoracic and Cardiovascular Surgery, University Hospital, Caen, France

Accepted for publication February 20, 1998.

Address reprint requests to Dr Massetti, Department of Thoracic and Cardiovascular Surgery, CHU "Cote de Nacre," 14033 Caen Cedex, France

Surgical excision of left atrial myxomas is usually curative. When the root of the pedicle and the full thickness of the adjacent interatrial septum are excised, the repair of the created atrial septal defect requires a pericardial or Dacron patch. The biatrial approach generally has been accepted as the technique having the advantages of well identifying the site of attachment and inspection of the four cardiac chambers. We proposed a modification of this technique that allows the reconstruction of the created septal defect without any foreign patch.




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