Surgical Approaches Results in Mitral Valve Surgical Management in University Cardiac Surgery Hospital

Abstract

Background and aim: It is intervention on the mitral valve to be considered as one  of the most common surgical procedures in cardiac surgery

There are many surgical entrances for mitral valve, after analyzing the clinical situation and the factors relating to each individual patient , right slot can be chossen. The conventional approach through the left atrium behind intra-atrial groove is acceptable but this entrance may be difficult in some cases. Transseptal incision is currently being used in many of the world's centers but there are some points that must be taken into account like cardiopulmonary bypass time, aortic cross-clamping time, increase amount of bleeding  after surgery and arrhythmias postoperatively.

Methods: Study design:

It is a regressive study  starting from 1/1/2009 until 01/01/2013 and will include all patients who were operated for mitral valve replacement  because of valve regurgitation in  university cardiac surgery hospital –Damascus

Study method:

The study was conducted for all patients who were operated for mitral valve replacement  because of valve regurgitation

A- Wth tricuspid valve repair

1. B) Without tricuspid valve repair

Information will be collected for the study and patients will be followed-up during their hospitalization stay, and for a period of 1-5 years

The sample size

(Number of patients 110 patients)

Results and Conclusion

Transseptal incision is not  accompanied by arrhythmias or an increase in cardiopulmonary bypass time, aortic cross-clamping time more than any other incision and is recommended in many cases, such as small left atrium, severe adhesions from previous operations, atrail calcification, and there are some global centers conducted it for all patients routinely for its good exposure and as an easy approach more than other incision.