Key result
Transaortic double valve replacement provides an alternative approach for difficult mitral valve exposure.
Why the study?
Certain conditions can make the standard approach for mitral valve access very difficult, necessitating alternative surgical techniques.
Case Report (n=1)
Transaortic double valve replacement is a feasible approach in patients with difficult mitral valve exposure.
May be considered in select cases with difficult mitral exposure; leaves open questions of safety and generalizability.
Adequate open exposure of the mitral valve is necessary to accomplish reconstruction or replacement of the diseased mitral valve apparatus. The technique employed by most cardiac surgeons for mitral valve access involves median sternotomy and vertical left atriotomy posterior to the interatrial sulcus. However, certain conditions can somethimes make this approach very difficult. Different approaches are discussed with particular emphasis on our case in which the transaortic double valve replacement have been performed.
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Nežić et al. (2005) conducted a case report in Diseased mitral valve apparatus with difficult exposure (n=1). Transaortic double valve replacement was evaluated. Transaortic double valve replacement was performed as an alternative approach in a case where standard mitral valve exposure was very difficult.
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