The Transseptal Approach to the Mitral Valve During Multivalvular Surgery

Abstract

We conclude that use of the transseptal approach for mitral valve operations is simple and safe in patients necessitating right atriotomy for concomitant procedures.

Mitral commissurotomy through the left ventricle apical orifice with Heart Ware left ventricular assist device implantation

“…Although, left atriotomy is more commonly used, trans-septal approach offers better mitral visualization in difficult cases especially small left atrium and re-do surgery [5]. The trans-septal approach is also useful in patients necessitating right atriotomy for concomitant procedures and it facilitates beating-heart mitral valve surgery, because retraction of the atrial wall during the trans-atrial approach often causes aortic insufficiency [6,7]. One of the scarcely used access for mitral valve is aortotomy.…”