CThSurgery.com
  • HOME
  • CARDIAC SURGERY
    • CORONARY SURGERY
    • VALVE SURGERY
  • THORACIC SURGERY
  • Q BANK
  • AORTIC SURGERY
  • CHEST TRAUMA
  • INSTRUMENTATION
  • RADIOLOGY
    • CARDIAC RADIOLOGY
    • THORACIC RADIOLOGY
    • ABDOMINAL RADIOLOGY
  • PATIENT EDUCATION
  • VIDEO LIBRARY
  • FAMOUS QUOTATIONS
  • RISK ASSESSMENT
    • EUROSCORE II
    • JBS3
    • CHADS2 STROKE IN AF
    • CALCULATE QxMD
  • SITE SEARCH
  • BLOG
  • History of Medicine
  • Cardiac Tumours
  • Hypertrophic Cardiomyopathy
SURGICAL ANATOMY
SURGICAL APPROACH
PATHOLOGY
< back

SURGICAL APPROACH

MITRAL VALVE


  • Several surgical approaches exits, the choice of which depends on the given clinical situation.
  • Left Thoracotomy through the fourth intercostal space was used for closed mitral commisurolysis and commissurotomies.
  • Short Right Thoracotomy is preferred for minimally invasive mitral surgery
  • Right-sided anterolateral thoracotomy is preferred in redo mitral surgery
  • Right- or left-sided thoracotomy 
              - May also be used redo operations where LIMA has been used as a graft for coronary 
                 revascularization procedure.
              - This is best performed without aortic cross clamping on a beating heart.
              - This avoids the risk of right ventricular injury in re sternotomies.
              - Avoids the need to dissect a patent LIMA graft
              - Maintains normal coronary perfusion.
              - Aortic incompetence has to be ruled out beforehand.

Picture
Picture
Picture
Approach to the mitral valve via longitudinal left atriotomy
​(through the dissected interatrial groove in a Sondergaard’s plane)
Picture
Transseptal approach to the mitral valve
​(through the right atrium and the interatrial septum)

Optimized for Google Chrome, Microsoft Edge and Mozilla Firefox
© COPYRIGHT 2021. ALL RIGHTS RESERVED.