Transseptal versus superior septal approach to the mitral valve

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dc.authorid0000-0003-4809-6139en_US
dc.authorid0000-0001-8642-5277en_US
dc.authorid0000-0001-5427-550Xen_US
dc.authorid0000-0001-9406-3608en_US
dc.authorid0000-0001-7953-1573en_US
dc.contributor.authorOrhan, Gökçen
dc.contributor.authorAykut Aka, Serap
dc.contributor.authorAydoğan, Hakkı
dc.contributor.authorYücel, Okan
dc.contributor.authorÇoruh, Türkan
dc.contributor.authorÇakalağaoğlu, Cantürk
dc.contributor.authorEren, Ergin Emin
dc.date.accessioned2024-07-12T21:12:09Z
dc.date.available2024-07-12T21:12:09Z
dc.date.issued2000en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractA good vision of the mitral apparatus affects the success of the surgeon in mitral valve surgery, especially in reoperations and mitral valve repairs. In cases when conventional left atriotomy is not enough for a good vision of the area transseptal or superior septal approaches are commonly used. In this study, operated 95 cases managed via transseptal(60) or superior septal (35) approach are studied retrospectively. In superior septal approach, the ejection fraction values are higher and left atrial diameters are larger. In transseptal group the number of reoperated cases and concomitant tricuspid valvular diseases are higher. In both groups the cross clemp and bypass time are similar. There are no significant differences in mortality, postoperative bleeding and infection incidance, blood transfusion amount, intensive care and internalization durations between the two groups. The ECG findings both in the postoperative first hour and at the externalization, show that the sinus rhythm is more common in the transseptal group than the superior septal group. Temporary pacemaker need is less in the transseptal group. There are no significant differences between the preoperative and externalisation ECG findings in each patient groups with sinus rhythm and atrial fibrillation . In maintaining a good vision of mitral area in mitral valve surgery, especially in the presence of small left atrium, reoperations and mitral valve repairs, transseptal or superior septal approach are good alternatives. Nevertheless, it should be kept in mind that postoperative atrial rhythm problems can be seen especially in cases managed with superior septal approach.en_US
dc.description.abstractA good vision of the mitral apparatus affects the success of the surgeon in mitral valve surgery, especially in reoperations and mitral valve repairs. In cases when conventional left atriotomy is not enough for a good vision of the area transseptal or superior septal approaches are commonly used. In this study, operated 95 cases managed via transseptal(60) or superior septal (35) approach are studied retrospectively. In superior septal approach, the ejection fraction values are higher and left atrial diameters are larger. In transseptal group the number of reoperated cases and concomitant tricuspid valvular diseases are higher. In both groups the cross clemp and bypass time are similar. There are no significant differences in mortality, postoperative bleeding and infection incidance, blood transfusion amount, intensive care and internalization durations between the two groups. The ECG findings both in the postoperative first hour and at the externalization, show that the sinus rhythm is more common in the transseptal group than the superior septal group. Temporary pacemaker need is less in the transseptal group. There are no significant differences between the preoperative and externalisation ECG findings in each patient groups with sinus rhythm and atrial fibrillation . In maintaining a good vision of mitral area in mitral valve surgery, especially in the presence of small left atrium, reoperations and mitral valve repairs, transseptal or superior septal approach are good alternatives. Nevertheless, it should be kept in mind that postoperative atrial rhythm problems can be seen especially in cases managed with superior septal approach.en_US
dc.identifier.citationOrhan, G., Aykut Aka, S., Aydoğan, H., Yücel, O., Filizcan, U., Çoruh, T., Çakalağaoğlu, C. ve Eren, E. E. (2000). Transseptal versus superior septal approach to the mitral valve / Mitral kapak ameliyatlarında transseptal ve süperior septal yaklaşımların karşılaştırılması. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Turkish Society of Cardiovascular Surgery. 8(1), s. 513-516.en_US
dc.identifier.endpage516en_US
dc.identifier.issn2149-8156
dc.identifier.issn1301-5680
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage513en_US
dc.identifier.urihttps://tgkdc.dergisi.org/abstract.php?lang=en&id=113
dc.identifier.urihttps://hdl.handle.net/20.500.12415/4458
dc.identifier.volume8en_US
dc.institutionauthorFilizcan, Uğur
dc.language.isoenen_US
dc.publisherTurkish Society of Cardiovascular Surgeryen_US
dc.relation.ispartofTürk Göğüs Kalp Damar Cerrahisi Dergisien_US
dc.relation.publicationcategoryUlusal Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsCC0 1.0 Universal*
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/*
dc.snmzKY03803
dc.subjectTransseptalen_US
dc.subjectsüperior septalen_US
dc.subjectsinus ritmien_US
dc.subjectatrial fibrilasyonen_US
dc.subjectTranseptalen_US
dc.subjectsuperior septalen_US
dc.subjectsinus rhythmen_US
dc.subjectatrial fibrillationen_US
dc.titleTransseptal versus superior septal approach to the mitral valveen_US
dc.title.alternativeMitral kapak ameliyatlarında transseptal ve süperior septal yaklaşımların karşılaştırılmasıen_US
dc.typeArticle
dspace.entity.typePublication

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