H. Inaba et al., MITRAL-VALVE REPAIR THROUGH COMBINED LEFT ATRIAL AND VENTRICULAR APPROACH FOR CONGENITAL MITRAL-STENOSIS, The thoracic and cardiovascular surgeon, 45(6), 1997, pp. 313-315
A 3-year-old boy underwent mitral valve repair for congenital mitral s
tenosis through combined superior-septal atriotomy and apical left ven
triculotomy. The operation was performed safely with excellent exposur
e of the subvalvular apparatus by the ventricular approach, while suff
icient visualization of the valvular lesion was obtained by the atrial
approach. Postoperative echocardiography demonstrated normal left-ven
tricular motion and no residual mitral stenosis.