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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Bibliographic Details
Main Authors: Fengjie Chen, Xiang Wang, Xianmian Zhuang, Hongwei Guo
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-022-02031-1
Description
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.
ISSN:1749-8090