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Ann Thorac Surg 2007;83:1904-1905
© 2007 The Society of Thoracic Surgeons

How To Do It

Transaortic Delivery of the Transmitral Lesion in a Complete Maze Procedure

Lucian Lozonschi, MDa,b, John H. Sirak, MDa,b, Robert E. Michler, MDa,b,*

a Department of Cardiothoracic Surgery, Ohio State University Medical Center, Columbus, Ohio
b Department of Cardiothoracic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York City, New York

Accepted for publication July 6, 2006.

* Address correspondence to Dr Michler, Department of Cardiothoracic Surgery, Montefiore-Einstein Heart Center, Montefiore Medical Center, Greene Medical Arts Pavilion Suite 5B, 3400 Bainbridge Ave, New York, NY 10467 (Email: rmichler{at}montefiore.org).

A 68-year-old hypertensive diabetic woman with chronic atrial fibrillation presented with progressive congestive symptomatology. She was diagnosed with severe aortic stenosis, moderate mitral regurgitation, and critical right coronary artery stenosis. In addition to coronary revascularization and bioprosthetic aortic valve replacement, she underwent a mitral valve repair and a complete cryoMaze procedure through a transaortic approach. This technique obviates a separate left atriotomy for the mitral repair and Maze procedure. It affords excellent exposure, while reducing cross clamp and cardiopulmonary bypass time as well as avoiding the potential sequelae of bleeding and traction injuries resulting from a left atriotomy.






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Copyright © 2007 by The Society of Thoracic Surgeons.