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Ann Thorac Surg 2007;84:1073
© 2007 The Society of Thoracic Surgeons

Correspondence

Superior Septal Approach For Mitral Valve Surgery: Letter 2

Ovidio A. Garcia-Villarreal, MD

Department of Cardiac Surgery, Hospital de Enfermedades Cardiovasculares y del Tórax, UMAE # 34, Instituto Mexicano del Seguro Social, Ave Lincoln y Maria de Jesús Candia s/n, Col Valle Verde 2do Sector, Monterrey, Nuevo León, 64400 Mexico

(Email: ovidio@voila.fr).

The first 20% of the full text of this article appears below.

To the Editor:

I read the article of Lukac and colleagues [1] with great interest. They showed that the superior septal approach (SSA) caused serious sinus rhythm disturbances when compared with the classical left atrial approach (LAA) for mitral valve (MV) surgery. In fact, 17 of 150 patients with SSA and 27 of 427 patients with LAA needed pacemaker implantations. Of these cases, 9 and 10 cases, respectively (p = 0.010), had a pacemaker implanted because of sinus node dysfunction. So the authors concluded that SSA has higher risk of sinus node dysfunction than conventional LAA for MV surgery. . . . [Full Text of this Article]




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 Ann. Thorac. Surg.Home page
P. Lukac, V. E. Hjortdal, and P. S. Hansen
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Ann. Thorac. Surg., September 1, 2007; 84(3): 1073 - 1074.
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