Comparison of Perioperative and Postoperative Outcomes Among 3 Left Atrial Incisions: Conventional Direct, Transseptal, and Superior Septal Left Atriotomy.
Estelle DémoulinDionysios AdamopoulosTornike SologashviliMathieu van SteenbergheJalal JolouHaran BurriChristoph HuberMustafa CikirikciogluPublished in: Texas Heart Institute journal (2024)
Mitral valve operations that employed these 3 atriotomy techniques demonstrated a safe profile. The conventional direct approach notably reduced aortic clamping and cardiopulmonary bypass durations. The superior septal method was primarily employed for acute pathologies, with no significant escalation in postoperative arrhythmias or permanent pacemaker implantation, although these patients had prolonged intensive care unit and hospital stays. These outcomes may be linked to the underlying pathology and nature of the surgical intervention rather than the incision method itself.
Keyphrases
- mitral valve
- left atrial
- intensive care unit
- patients undergoing
- left ventricular
- end stage renal disease
- atrial fibrillation
- hypertrophic cardiomyopathy
- ejection fraction
- randomized controlled trial
- newly diagnosed
- chronic kidney disease
- aortic dissection
- clinical trial
- prognostic factors
- type diabetes
- aortic valve
- drug induced
- open label
- respiratory failure
- adverse drug
- pulmonary hypertension