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Ann Thorac Surg 1998;65:1510
© 1998 The Society of Thoracic Surgeons

Correspondence

Reply

Kit V. Arom, MD, PhDa, Robert W. Emory, MDa

a Department of Cardiothoracic Surgery, Minneapolis Heart Institute, 920 E 28th St, Suite 420, Minneapolis, MN 55407, USA

To the Editor

Doctor Konertz suggested another technique to expose the mitral valve through the dome of the left atrium with the Cooley atrial retractor. Our own experience with minimally invasive aortic and mitral valve surgery dates back to February 1996. Since then, we have tried to improve the exposure of the mitral valve, including using the Cooley atrial retractor that Dr Konertz suggests. Our skin opening is approximately 6 x 6 cm, and any instruments placed inside this limited opening can obstruct the view of the mitral valve. Therefore, we elected to use traction stitches with pledgets as described [1], and this approach so far has given us better exposure of the mitral valve.

References

  1. Arom KV, Emery RW. Minimally invasive mitral operations. Ann Thorac Surg 1997;63:1219–20.




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