Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients

Background: Previous cardiac operations may complicate mitral valve exposure, as adhesions and loss of mobility in the surrounding tissues may be present. In such cases, the conventional left atrial (LA) incision may not offer satisfactory visualization in the surgical site of the valve. Therefore,...

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Autores principales:	Mohamed Hitawy, Mohamed Hassan, Farag Abdelwahab, Mohamed Mousa
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	transseptal transatrial redo surgery mitral replacement Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/dbe0600c544848afbb47d236bff179d8
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spelling	oai:doaj.org-article:dbe0600c544848afbb47d236bff179d82021-12-02T10:38:27ZComparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients2636-41742682-378010.21608/ijma.2020.20927.1052https://doaj.org/article/dbe0600c544848afbb47d236bff179d82020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_92259_bd2560bc85f6df46d37d156be55d26ac.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Previous cardiac operations may complicate mitral valve exposure, as adhesions and loss of mobility in the surrounding tissues may be present. In such cases, the conventional left atrial (LA) incision may not offer satisfactory visualization in the surgical site of the valve. Therefore, several alternative approaches have been proposed for satisfactory visualization of the mitral valve intraoperatively.Aim of the work: to evaluate the outcome of the transseptal and transatrial approaches for mitral valve replacement in patients undergoing redo mitral valve surgery.Patients and Method: This is a prospective study that was conducted at Cardio-thoracic surgery department of Al-Azhar University hospital (Damietta) and other centers during the period from the January 2018 to May 2019. It included 30 patients undergoing redo mitral valve surgery; 15 of them had transseptal approach and 15 with transatrial approach.Results: Age was comparable between studied groups. There was 6 males (40.0%) in group I and 7 males (46.7%) in group II. Smoking was reported in 8 (53.3%) in group I and 7 (46.7%) in group II. Hypertension and pulmonary disease were reported in 6 (40.0%) versus 7 (46.7%) and 2 (13.3%) versus 3 (20.0%) in groups I and II respectively. Diabetes mellitus was reported in 9 (60.0%) in group I versus 4 (26.7%) in group II. Finally, there was no significant difference between both approaches as regard to intraoperative or postoperative data. Conclusion: Transatrial approach has been used in most of previous studies; the transseptal approach appears to be equally effective.Mohamed HitawyMohamed HassanFarag AbdelwahabMohamed MousaAl-Azhar University, Faculty of Medicine (Damietta)articletransseptaltransatrialredo surgerymitralreplacementMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 619-624 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	transseptal transatrial redo surgery mitral replacement Medicine (General) R5-920
spellingShingle	transseptal transatrial redo surgery mitral replacement Medicine (General) R5-920 Mohamed Hitawy Mohamed Hassan Farag Abdelwahab Mohamed Mousa Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients
description	Background: Previous cardiac operations may complicate mitral valve exposure, as adhesions and loss of mobility in the surrounding tissues may be present. In such cases, the conventional left atrial (LA) incision may not offer satisfactory visualization in the surgical site of the valve. Therefore, several alternative approaches have been proposed for satisfactory visualization of the mitral valve intraoperatively.Aim of the work: to evaluate the outcome of the transseptal and transatrial approaches for mitral valve replacement in patients undergoing redo mitral valve surgery.Patients and Method: This is a prospective study that was conducted at Cardio-thoracic surgery department of Al-Azhar University hospital (Damietta) and other centers during the period from the January 2018 to May 2019. It included 30 patients undergoing redo mitral valve surgery; 15 of them had transseptal approach and 15 with transatrial approach.Results: Age was comparable between studied groups. There was 6 males (40.0%) in group I and 7 males (46.7%) in group II. Smoking was reported in 8 (53.3%) in group I and 7 (46.7%) in group II. Hypertension and pulmonary disease were reported in 6 (40.0%) versus 7 (46.7%) and 2 (13.3%) versus 3 (20.0%) in groups I and II respectively. Diabetes mellitus was reported in 9 (60.0%) in group I versus 4 (26.7%) in group II. Finally, there was no significant difference between both approaches as regard to intraoperative or postoperative data. Conclusion: Transatrial approach has been used in most of previous studies; the transseptal approach appears to be equally effective.
format	article
author	Mohamed Hitawy Mohamed Hassan Farag Abdelwahab Mohamed Mousa
author_facet	Mohamed Hitawy Mohamed Hassan Farag Abdelwahab Mohamed Mousa
author_sort	Mohamed Hitawy
title	Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients
title_short	Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients
title_full	Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients
title_fullStr	Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients
title_full_unstemmed	Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients
title_sort	comparative study: transseptal approach versus transatrial approach in mitral valve replacement in redo patients
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/dbe0600c544848afbb47d236bff179d8
work_keys_str_mv	AT mohamedhitawy comparativestudytransseptalapproachversustransatrialapproachinmitralvalvereplacementinredopatients AT mohamedhassan comparativestudytransseptalapproachversustransatrialapproachinmitralvalvereplacementinredopatients AT faragabdelwahab comparativestudytransseptalapproachversustransatrialapproachinmitralvalvereplacementinredopatients AT mohamedmousa comparativestudytransseptalapproachversustransatrialapproachinmitralvalvereplacementinredopatients
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Comparative study: Transseptal approach versus Transatrial approach in mitral valve replacement in redo patients

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