Related Experiment Video
Updated: Jun 20, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Efficacy, feasibility, and pitfalls of transseptal approach in beating-heart mitral valve surgery
Tomas A Salerno1, Maria R Suarez, Anthony L Panos
1Division of Cardiothoracic Surgery and Perfusion, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida 33136, USA. tsalerno@med.miami.edu
Background:
Mitral valve surgery can be performed through the trans-atrial or the trans-septal approach. Although the trans-atrial is the preferred method, the trans-septal approach has also been used recently and has a particular value in beating-heart mitral valve surgery. Herein we report our experience with beating-heart mitral valve surgery via trans-septal approach, and discuss its advantages and pitfalls.
Methods:
Between 2000 and 2007, 214 patients underwent mitral valve procedures using the beating-heart surgical approach.
Results:
One hundred and forty-three patients (66.8%) had mitral valve replacement, 68 patients (31.7%) mitral valve repair, and 82 patients (38.3%) concomitant valve procedures. Coronary artery bypass grafting was simultaneously performed in 30 (14%) patients. Thirty-day mortality was 7.4%, reoperation for bleeding 7%, stroke 0.4%, and myocardial infarction 0.4%, and failed mitral valve repair 0.9%.
Conclusion:
Our experience suggests that beating-heart mitral valve surgery is facilitated by using the trans-septal approach.
More Related Videos
Related Concept Videos
Mitral Stenosis III: Medical Management
Mitral Regurgitation III: Medical Management
Mitral Valve Prolapse II: Assessment and Management
Mitral Stenosis II: Clinical features and Diagnostic Tests

