Superior Septal Approach to The Mitral Valve

Cem ALHAP, Erdoğan DEMİRAY, Mustafa İDİZ, İlyas KAYACIOĞLU, Murat DEMİRTAŞ, Hacı AKAR, Sabri DAĞSALI, Sümer TARCAN

Prof. Dr. Siyami Ersek Göğüs Kalp ve Madar Cerrahisi Merkezi

Superior-septal approach to the mitral valve has been used in 9 patients. All of these cases underwent mitral valve replacement (MVR) and De Vega annuloplasty (DVA) procedure. In two of these atients an additional aortic valve replacement was carried on and one patient required left atrial thrombectomy. Overall mean aortic cross clamp time was 62.7+7.4 min., being 52+2.8 min. for isolated MVR+DVA procedures. Mortality rate was 0% and there were no bleeding complications. 7 patients with normal sinus rhytm (NSR) preoperatively, frequent atrial premature conractions were observed, however both of these patients were in NSR, one month later. Superior-septal approach can be useful in reoperations, in patents with small laft atrium and in procedures requiring concomittant right atriotomy. Moreover, if further investigations prove this technique to be safe in respect to atrial dysrhythmias, it may be used routinely in mitral valve operations.

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