Mitral prosthetic replacement in small left atria

Campanella, C.; Cameron, E.; Feilberg, V.L.

doi:10.1016/0003-4975(90)90704-a

Cited by 11 publications

(4 citation statements)

References 2 publications

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“…The actuarial survival curve is 92.5% at 22 months of follow up (Figure 2). left atria or reoperations [3][4][5][6][7][8][9]. The transseptal approach via the right atrium is the oldest approach to the mitral valve [10,11].…”

Section: Resultsmentioning

confidence: 99%

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<![CDATA[<b>Extended vertical transseptal approach in mitral valve reoperation with a small left atrium</b>]]>

Fagundes¹,

Pinheiro²

2004

Braz. j. cardiovasc. surg.

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Objective: Evaluate the efficacy of the extended vertical transseptal approach in mitral valve reoperation with a small left atrium. Method: From January 2001 to December 2002, 15 patients with previous mitral operation, small left atrium and atrial fibrillation underwent mitral valve surgery through an extended vertical transseptal incision. There were nine women and six men. Their ages ranged from 22 to 48 years. The main surgical indication was mitral prosthetic dysfunction in six patients, pure mitral regurgitation in five and mitral stenosis with regurgitation in four. Three patients had associated aortic regurgitation and one patient had associated tricuspid regurgitation. Nine patients (60%) were in congestive heart failure function class III (NYHA) and 6 patients (40%) in function class IV. Results: In all patients this approach provided excellent exposure. The cardiopulmonary bypass time ranged from 65 to 150 minutes (mean = 95 min). The mitral valve was replaced in 15 patients, the aortic valve in three and the tricuspid valve in one. One patient died secondary to cardiogenic shock and multiple organ failure (hospital mortality 6.6%). Another patient had pneumonia in the postoperative period (morbidity 7.1%). Ten patients remained in atrial fibrillation, three regained sinus rhythm and one was in nodal rhythm. The mean hospital stay was 8.2 days. Twelve patients (85%) have been in NYHA functional class I and two patients (15%) in functional class II. Actuarial survival rate at 22 months is 92.5%. Conclusion: The extended vertical transseptal approach provides excellent mitral valve exposure without inherent complications.

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Section: Resultsmentioning

confidence: 99%

“…Varying techniques have been employed to deal with complex cases, mainly in related to the presence of small left atria and reoperations of the mitral valve [3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

<![CDATA[<b>Extended vertical transseptal approach in mitral valve reoperation with a small left atrium</b>]]>

Fagundes¹,

Pinheiro²

2004

Braz. j. cardiovasc. surg.

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“…13 The best technique to excise left atrial myxomas is known as inverted T-shaped biatrial incision, which provides an optimal exposure of all four chambers enabling radical excision and sufficient surgical correction of the mitral valve incompetency, if present. 14 The mortality rate from the surgical intervention is low, and the long-term prognosis is satisfactory. 15 …”

Section: Discussionmentioning

confidence: 99%

An exceptionally giant left atrial myxoma: a case report and literature review

Al-Zamkan

Hashem

Alaaeldin

et al. 2020

European Heart Journal - Case Reports

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Background Cardiac myxomas are considered the most common benign heart tumours. The clinical manifestations mainly depend on the size of the tumour. They usually vary from asymptomatic, mild non-specific symptoms, to severe obstructive cardiac and systemic findings. We describe herein a significantly large left atrial myxoma in a patient misdiagnosed with respiratory asthma. Case summary A 54-year-old lady, was diagnosed previously with asthma, presented with a history of dyspnoea on exertion, palpitations, and mild peripheral oedema. Chest X-ray suggested pulmonary congestion. Due to high suspicion of cardiac issues, transthoracic echocardiography was done revealing giant left atrial mass. Consequently, the mass was approached and excised surgically through the inverted T biatrial incision. Grossly, the mass measured 10 × 8 × 6 cm, and it had a smooth surface and was filled with gelatinous material. The histopathology confirmed benign myxoma without malignant features. Discussion Our article mainly focuses on the diagnostic challenges of a patient with atrial myxoma. The major discrepancy between the tumour size and the severity of the patient’s symptoms should draw physicians’ attention to consider atrial myxoma over a long list of differentials, in order to take immediate action to reduce the mortality and improve the overall prognosis.

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“…Fig. 1 left atria or reoperations [3][4][5][6][7][8][9]. The transseptal approach via the right atrium is the oldest approach to the mitral valve [10,11].…”

Section: Rev Bras Cir Cardiovasc 2004; 19(1): 29-33mentioning

confidence: 99%