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TECHNICAL NOTES  CARDIAC SECTION 

The Journal of Cardiovascular Surgery 2001 August;42(4):501-3

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Mitral exposure technique for redo cardiac surgery. A left mediastinal pleurotomy and minimal adhesiotomy method

Yaginuma G., Ottomo M., Abe K., Saiki Y., Okada Y., Sakurai M., Meguro T.

From the Division of Heart Institute Sendai Kosei Hospital, Sendai, Japan *Yamagata Prefectural Central Hospital Yamagata, Japan


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We ­report an ­improved ­mitral expo­sure tech­nique ­for ­mitral ­valve re-oper­a­tion. Left med­i­as­ti­nal pleu­rot­o­my ­through a ­median ster­not­o­my ­achieves rota­tion of ­the ­heart ­and excel­lent expo­sure of ­the ­mitral ­valve allow­ing ­the ­apex to ­drop pos­te­ri­or­ly. We ­employed ­this tech­nique in ­redo ­mitral ­valve sur­ger­ies ­for ­over a 3-­year peri­od. This min­i­mal adhe­sio­to­my meth­od is tech­ni­cal­ly sim­ple, ­safe ­and ­time-sav­ing.

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