Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome

Abstract Background The choice of mitral valve surgical approach has always been a difficult problem in patients with small left atrium. Case presentation We report a case of a patient with Marfan syndrome who underwent the David operation and mitral annuloplasty. The patient had a small left atrium...

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Published inJournal of cardiothoracic surgery Vol. 17; no. 1; pp. 1 - 293
Main Authors Chen, Fengjie, Wang, Xiang, Zhuang, Xianmian, Guo, Hongwei
Format Journal Article
LanguageEnglish
Published London BioMed Central Ltd 19.11.2022
BioMed Central
BMC
Subjects
Aneurysms
Atria
Atrium
Cardiac arrhythmia
Case Report
Case reports
Coronary vessels
Domes
Grooves
Heart valves
Marfan syndrome
Marfan's syndrome
Methods
Mitral valve
Patients
Sinuses
Small left atrium
Surgery
The interatrial groove-left atrial dome approach
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Summary:Abstract Background The choice of mitral valve surgical approach has always been a difficult problem in patients with small left atrium. Case presentation We report a case of a patient with Marfan syndrome who underwent the David operation and mitral annuloplasty. The patient had a small left atrium, so we severed the superior vena cava and opened the interatrial groove and left atrial dome. This method allows for excellent exposure of the mitral valve and subvalvular apparatus, enabling a successful operation. Conclusion The interatrial groove-left atrial dome approach provides an option for patients with a small left atrium undergoing mitral valve surgery.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-022-02031-1