{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:29:16Z","timestamp":1768350556206,"version":"3.49.0"},"reference-count":21,"publisher":"Texas Heart Institute Journal","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Background:<\/jats:title>\n          <jats:p>Achieving optimal exposure of the mitral valve during surgical intervention poses a significant challenge. This study aimed to compare perioperative and postoperative outcomes associated with 3 left atriotomy techniques in mitral valve surgery\u2014the conventional direct, transseptal, and superior septal approaches\u2014and assess differences during the surgical procedure and the postoperative period.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Methods:<\/jats:title>\n          <jats:p>Inclusion criteria were patients undergoing mitral valve surgery from January 2010 to December 2020, categorized into 3 cohorts: group 1 (conventional direct; n = 115), group 2 (transseptal; n = 33), and group 3 (superior septal; n = 59). To bolster sample size, the study included patients undergoing mitral valve surgery independently or in conjunction with other procedures (eg, coronary artery bypass grafting, aortictricuspid surgery, or maze procedure).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results:<\/jats:title>\n          <jats:p>No substantial variance was observed in the etiology of mitral valve disease across groups, except for a higher incidence of endocarditis in group 3 (<jats:italic>P<\/jats:italic> = .01). Group 1 exhibited a higher frequency of elective surgeries and isolated mitral valve procedures (<jats:italic>P<\/jats:italic> = .008), along with reduced aortic clamping and cardiopulmonary bypass durations (<jats:italic>P<\/jats:italic> = .002). Conversely, group 3 patients represented a greater proportion of emergency procedures (<jats:italic>P<\/jats:italic> = .01) and prolonged intensive care unit and hospital stays (<jats:italic>P<\/jats:italic> = .001). No significant disparities were detected in terms of permanent pacemaker implantation, postoperative complications, or mortality among the groups.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion:<\/jats:title>\n          <jats:p>Mitral valve operations that employed these 3 atriotomy techniques demonstrated a safe profile. The conventional direct approach notably reduced aortic clamping and cardiopulmonary bypass durations. The superior septal method was primarily employed for acute pathologies, with no significant escalation in postoperative arrhythmias or permanent pacemaker implantation, although these patients had prolonged intensive care unit and hospital stays. These outcomes may be linked to the underlying pathology and nature of the surgical intervention rather than the incision method itself.<\/jats:p>\n        <\/jats:sec>","DOI":"10.14503\/thij-23-8162","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T07:20:47Z","timestamp":1706685647000},"source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Perioperative and Postoperative Outcomes Among 3 Left Atrial Incisions: Conventional Direct, Transseptal, and Superior Septal Left Atriotomy"],"prefix":"10.14503","volume":"51","author":[{"given":"Estelle","family":"D\u00e9moulin","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dionysios","family":"Adamopoulos","sequence":"additional","affiliation":[{"name":"Division of Medical Specialties, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tornike","family":"Sologashvili","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"van Steenberghe","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jalal","family":"Jolou","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haran","family":"Burri","sequence":"additional","affiliation":[{"name":"Division of Medical Specialties, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Huber","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Cikirikcioglu","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"17","key":"i1526-6702-51-1-e238162-b1","series-title":"Circulation","first-page":"2168","article-title":"Fifty years of open-heart surgery.","volume":"107","author":"Cohn\n              LH","year":"2003","unstructured":"Cohn\n              LH\n            \n          . Fifty years of open-heart surgery.Circulation. 2003107(17):2168-2170. doi:10.1161\/01.CIR.0000071746.50876.E2"},{"issue":"3","key":"i1526-6702-51-1-e238162-b2","series-title":"Nat Rev Cardiol","first-page":"162","article-title":"Epidemiology of valvular heart disease in the adult","volume":"8","author":"Iung\n              B","year":"2011","unstructured":"Iung\n              B\n            , VahanianA. Epidemiology of valvular heart disease in the adult. Nat Rev Cardiol. 2011;8(3):162\u2013172. doi:10.1038\/nrcardio.2010.202"},{"issue":"3","key":"i1526-6702-51-1-e238162-b3","series-title":"Ann Thorac Surg","first-page":"834","article-title":"Minitransseptal versus left atrial approach to the mitral valve: a comparison of outcomes","volume":"82","author":"Nienaber\n              JJ","year":"2006","unstructured":"Nienaber\n              JJ\n            , GlowerDD. Minitransseptal versus left atrial approach to the mitral valve: a comparison of outcomes. Ann Thorac Surg. 2006;82(3):834\u2013839; discussion 839. doi:10.1016\/j.athoracsur.2006.04.014"},{"issue":"527","key":"i1526-6702-51-1-e238162-b4","series-title":"Rev Med Suisse","first-page":"1358","article-title":"Therapeutic news in infective endocarditis. Article in French","volume":"12","author":"Marchetta\n              S","year":"2016","unstructured":"Marchetta\n              S\n            \n          . Therapeutic news in infective endocarditis. Article in French. Rev Med Suisse. 2016;12(527):1358\u20131361."},{"issue":"358","key":"i1526-6702-51-1-e238162-b5","series-title":"Rev Med Suisse","first-page":"1966","article-title":"Diagnostic et prise en charge pr\u00e9coce des endocardites infectieuses","volume":"8","author":"Carballo\n              S","year":"2012","unstructured":"Carballo\n              S\n            , RosselA, Carballo. Diagnostic et prise en charge pr\u00e9coce des endocardites infectieuses. Rev Med Suisse. 2012;8(358):1966\u20131971."},{"issue":"6","key":"i1526-6702-51-1-e238162-b6","series-title":"Eur J Cardiothorac Surg","first-page":"294","article-title":"Optimal exposure of the mitral valve through an extended vertical transeptal approach","volume":"5","author":"Alfieri\n              O","year":"1991","unstructured":"Alfieri\n              O\n            , SandrelliL, PardiniA, et al. Optimal exposure of the mitral valve through an extended vertical transeptal approach. Eur J Cardiothorac Surg. 1991;5(6):294\u2013298; discussion 299. doi:10.1016\/1010-7940(91)90038-l"},{"issue":"2","key":"i1526-6702-51-1-e238162-b7","series-title":"Ann Thorac Surg","first-page":"426","article-title":"Extended transseptal versus conventional left atriotomy: early postoperative study","volume":"60","author":"Kumar\n              N","year":"1995","unstructured":"Kumar\n              N\n            , SaadE, PrabhakarG, De VolE, DuranCM. Extended transseptal versus conventional left atriotomy: early postoperative study. Ann Thorac Surg. 1995;60(2):426\u2013430. doi:10.1016\/0003-4975(95)00449-u"},{"issue":"4","key":"i1526-6702-51-1-e238162-b8","series-title":"J Tehran Heart Cent","first-page":"188","article-title":"Transseptal approach versus left atrial approach to mitral valve: a propensity score matching study","volume":"10","author":"Rezahosseini\n              O","year":"2015","unstructured":"Rezahosseini\n              O\n            , RezaeiM, Ahmadi TaftiSH, et al. Transseptal approach versus left atrial approach to mitral valve: a propensity score matching study. J Tehran Heart Cent. 2015;10(4):188\u2013193."},{"issue":"2","key":"i1526-6702-51-1-e238162-b9","series-title":"J Thorac Cardiovasc Surg","first-page":"282","article-title":"Oblique transseptal left atriotomy for optimal mitral exposure","volume":"103","author":"Hartz\n              RS","year":"1992","unstructured":"Hartz\n              RS\n            , KanadyKE, LoCicero 3rdJ, SandersJH, DePintoDJ. Oblique transseptal left atriotomy for optimal mitral exposure. J Thorac Cardiovasc Surg. 1992;103(2):282\u2013286."},{"issue":"4","key":"i1526-6702-51-1-e238162-b10","series-title":"Interact Cardiovasc Thorac Surg","first-page":"536","article-title":"Atrial approaches to the mitral valve: is there a difference in postoperative rhythm disturbance and permanent pacemaker implantation?","volume":"27","author":"Boulemden\n              A","year":"2018","unstructured":"Boulemden\n              A\n            , NadarajahD, SzafranekA, RichensD. Atrial approaches to the mitral valve: is there a difference in postoperative rhythm disturbance and permanent pacemaker implantation?Interact Cardiovasc Thorac Surg. 2018;27(4):536\u2013542."},{"issue":"1","key":"i1526-6702-51-1-e238162-b11","series-title":"Ann Thorac Surg","first-page":"77","article-title":"Superior transseptal approach to mitral valve is associated with a higher need for pacemaker implantation than the left atrial approach","volume":"83","author":"Lukac\n              P","year":"2007","unstructured":"Lukac\n              P\n            , HjortdalVE, PedersenAK, MortensenPT, JensenHK, HansenPS. Superior transseptal approach to mitral valve is associated with a higher need for pacemaker implantation than the left atrial approach. Ann Thorac Surg. 2007;83(1):77\u201382. doi:10.1016\/j.athoracsur.2006.08.034"},{"issue":"3","key":"i1526-6702-51-1-e238162-b12","series-title":"J Thorac Cardiovasc Surg","first-page":"582","article-title":"Comparison of outcomes with three atrial incisions for mitral valve operations. Right lateral, superior septal, and transseptal","volume":"109","author":"Utley\n              JR","year":"1995","unstructured":"Utley\n              JR\n            , LeylandSA, NguyenduyT. Comparison of outcomes with three atrial incisions for mitral valve operations. Right lateral, superior septal, and transseptal. J Thorac Cardiovasc Surg. 1995;109(3):582\u2013587. doi:10.1016\/S0022-5223(95)70292-X"},{"issue":"4","key":"i1526-6702-51-1-e238162-b13","series-title":"Ann Thorac Surg","first-page":"1262","article-title":"Conduction disturbances after superior septal approach for mitral valve repair","volume":"68","author":"Misawa\n              Y","year":"1999","unstructured":"Misawa\n              Y\n            , FuseK, KawahitoK, SaitoT, KonishiH. Conduction disturbances after superior septal approach for mitral valve repair. Ann Thorac Surg. 1999;68(4):1262\u20131264;discussion 1264-1265. doi:10.1016\/s0003-4975(99)00666-9"},{"issue":"7","key":"i1526-6702-51-1-e238162-b14","series-title":"J Card Surg","first-page":"1458","article-title":"Comparison of safety and outcomes with two approaches to the mitral valve","volume":"35","author":"Izzat\n              MB","year":"2020","unstructured":"Izzat\n              MB\n            , AljasemH, AlsharabiM, HafezA. Comparison of safety and outcomes with two approaches to the mitral valve. J Card Surg. 2020;35(7):1458\u20131463. doi:10.1111\/jocs.14603"},{"issue":"4","key":"i1526-6702-51-1-e238162-b15","series-title":"Ann Thorac Surg","first-page":"1118","article-title":"Postoperative cardiac rhythms with superior-septal approach and lateral approach to the mitral valve","volume":"62","author":"Masuda\n              M","year":"1996","unstructured":"Masuda\n              M\n            , TominagaR, KawachiY, et al. Postoperative cardiac rhythms with superior-septal approach and lateral approach to the mitral valve. Ann Thorac Surg. 1996;62(4):1118\u20131122."},{"issue":"3","key":"i1526-6702-51-1-e238162-b16","series-title":"Rev Bras Cir Cardiovasc","first-page":"367","article-title":"Comparison of superior septal approach with left atriotomy in mitral valve surgery","volume":"29","author":"Aydin\n              E","year":"2014","unstructured":"Aydin\n              E\n            , ArslanA, OzkokeliM. Comparison of superior septal approach with left atriotomy in mitral valve surgery. Rev Bras Cir Cardiovasc. 2014;29(3):367\u2013373. doi:10.5935\/1678-9741.20140045"},{"issue":"5","key":"i1526-6702-51-1-e238162-b17","series-title":"Ann Thorac Surg","first-page":"1561","article-title":"The maze procedure and postoperative pacemakers","volume":"106","author":"Cox\n              JL","year":"2018","unstructured":"Cox\n              JL\n            , AdN, ChurylaA, et al. The maze procedure and postoperative pacemakers. Ann Thorac Surg. 2018;106(5):1561\u20131569. doi:10.1016\/j.athoracsur.2018.05.013"},{"key":"i1526-6702-51-1-e238162-b18","series-title":"StatPearls","article-title":"Tricuspid valve repair","author":"Mahboobi\n              SK","year":"2022","unstructured":"Mahboobi\n              SK\n            , AhmedAA. Tricuspid valve repair. In: StatPearls. StatPearls Publishing; 2022."},{"issue":"4","key":"i1526-6702-51-1-e238162-b19","series-title":"Heart Surg Forum","first-page":"E318","article-title":"Comparison of left atriotomy and superior transseptal approaches in mitral valve surgery","volume":"21","author":"Turkyilmaz\n              S","year":"2018","unstructured":"Turkyilmaz\n              S\n            , KavalaAA. Comparison of left atriotomy and superior transseptal approaches in mitral valve surgery. Heart Surg Forum. 2018;21(4):E318\u2013E21. doi:10.1532\/hsf.1997"},{"issue":"6","key":"i1526-6702-51-1-e238162-b20","series-title":"Tex Heart Inst J","first-page":"667","article-title":"Surgical treatment of endocarditis: current status","volume":"38","author":"Pettersson\n              GB","year":"2011","unstructured":"Pettersson\n              GB\n            \n          . Surgical treatment of endocarditis: current status. Tex Heart Inst J. 2011;38(6):667\u2013668."},{"key":"i1526-6702-51-1-e238162-b21","article-title":"Infective endocarditis: a multidisciplinary approach","author":"Kilic\n              A","year":"2022","unstructured":"Kilic\n              A\n            \n          . Infective endocarditis: a multidisciplinary approach. 2022. Accessed June 13, 2022. https:\/\/www.clinicalkey.com\/#!\/browse\/book\/3-s2.0-C20190020559"}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/51\/1\/article-e238162.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/thij\/article-pdf\/doi\/10.14503\/THIJ-23-8162\/3410971\/i1526-6702-51-1-e238162.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/51\/1\/article-e238162.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/51\/1\/article-e238162.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:38:08Z","timestamp":1730993888000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/51\/1\/article-e238162.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":21,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.14503\/thij-23-8162","relation":{},"ISSN":["1526-6702","0730-2347"],"issn-type":[{"value":"1526-6702","type":"electronic"},{"value":"0730-2347","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]}}}