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Author Salerno, Tomas A. ♦ Suarez, Maria R. ♦ Panos, Anthony L. ♦ Macedo, Francisco Igor B. ♦ Alba, Julia ♦ Brown, Michael ♦ Ricci, Marco
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Wiley
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human anatomy, cytology, histology ♦ Diseases ♦ Surgery & related medical specialties ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Cardiovascular System ♦ Anatomy ♦ Eukaryota ♦ Organisms ♦ Surgical Procedures, Operative ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Cardiology ♦ Discipline Surgery ♦ Heart Atria ♦ Surgery ♦ Heart Septum ♦ Heart Valve Prosthesis Implantation ♦ Adverse Effects ♦ Mitral Valve ♦ Aortic Valve ♦ Pathology ♦ Coronary Artery Bypass ♦ Mortality ♦ Statistics & Numerical Data ♦ Feasibility Studies ♦ Florida ♦ Humans ♦ Journal Article
Abstract BACKGROUND: Mitral valve surgery can be performed through the trans-atrial or the trans-septal approach. Although the trans-atrial is the preferred method, the trans-septal approach has also been used recently and has a particular value in beating-heart mitral valve surgery. Herein we report our experience with beating-heart mitral valve surgery via trans-septal approach, and discuss its advantages and pitfalls. METHODS: Between 2000 and 2007, 214 patients underwent mitral valve procedures using the beating-heart surgical approach. RESULTS: One hundred and forty-three patients (66.8%) had mitral valve replacement, 68 patients (31.7%) mitral valve repair, and 82 patients (38.3%) concomitant valve procedures. Coronary artery bypass grafting was simultaneously performed in 30 (14%) patients. Thirty-day mortality was 7.4%, reoperation for bleeding 7%, stroke 0.4%, and myocardial infarction 0.4%, and failed mitral valve repair 0.9%. CONCLUSION: Our experience suggests that beating-heart mitral valve surgery is facilitated by using the trans-septal approach.
Spatial Coverage Florida
Description Country affiliation: United States
Author Affiliation: Salerno TA ( Division of Cardiothoracic Surgery and Perfusion, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida 33136, USA. tsalerno@med.miami.edu)
ISSN 08860440
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2009-09-01
Publisher Place United States
e-ISSN 15408191
Journal Journal of Cardiac Surgery
Volume Number 24
Issue Number 5


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Source: WHO-Global Index Medicus