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[Surgical treatment of mitral diseases with left atrial ectasia. New technic]
Insights
A novel "H" plication technique for the left atrium shows promise in reducing chamber size for patients with mitral insufficiency. This surgical approach, combined with valve replacement, yielded positive outcomes in early trials, mitigating risks of atrial thrombosis.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery Innovations
- Thoracic Medicine
Abstract:
The authors describe a new technique of "H" plication of the left atrium which reduces the size of the chamber in patients with mitral insufficiency and ectasia of the left atrium. The development of massive artrial thrombosis during the immediate postoperative period results in a mortality of more than 50 percent. It was for this reason that plication of the left atrium was used in association with valve replacement using a pig heterograft in 3 patients with good immediate and mid-term results. Follow-up cineangiography was performed 6 months after surgery in 2 patients.