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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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
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author Fengjie Chen
Xiang Wang
Xianmian Zhuang
Hongwei Guo
author_facet Fengjie Chen
Xiang Wang
Xianmian Zhuang
Hongwei Guo
author_sort Fengjie Chen
collection DOAJ
description 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.
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spelling doaj.art-0f3a99fff0284cae86bb3b7a4a40e0182022-12-22T03:43:26ZengBMCJournal of Cardiothoracic Surgery1749-80902022-11-011711410.1186/s13019-022-02031-1Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndromeFengjie Chen0Xiang Wang1Xianmian Zhuang2Hongwei Guo3Department of Vascular Surgery, Fuwai Hospital Chinese Academy of Medical SciencesDepartment of Vascular Surgery, Fuwai Hospital Chinese Academy of Medical SciencesDepartment of Vascular Surgery, Fuwai Hospital Chinese Academy of Medical SciencesDepartments of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract 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.https://doi.org/10.1186/s13019-022-02031-1Small left atriumMitral valveThe interatrial groove-left atrial dome approach
spellingShingle Fengjie Chen
Xiang Wang
Xianmian Zhuang
Hongwei Guo
Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome
Journal of Cardiothoracic Surgery
Small left atrium
Mitral valve
The interatrial groove-left atrial dome approach
title Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome
title_full Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome
title_fullStr Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome
title_full_unstemmed Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome
title_short Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome
title_sort mitral annuloplasty with the interatrial groove left atrial dome approach in a patient with marfan syndrome
topic Small left atrium
Mitral valve
The interatrial groove-left atrial dome approach
url https://doi.org/10.1186/s13019-022-02031-1
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AT xiangwang mitralannuloplastywiththeinteratrialgrooveleftatrialdomeapproachinapatientwithmarfansyndrome
AT xianmianzhuang mitralannuloplastywiththeinteratrialgrooveleftatrialdomeapproachinapatientwithmarfansyndrome
AT hongweiguo mitralannuloplastywiththeinteratrialgrooveleftatrialdomeapproachinapatientwithmarfansyndrome