Exposure of the mitral valve using flexible self-retaining retractors and an atrial hook

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• 作者：Toshihiko Shibata MD (A1)
  Takashi Yasuoka MD (A1)
  Kazushige Inoue MD (A1)
  Takeshi Ikuta MD (A1)
  Yasuyuki Bito MD (A1)
  
• 关键词：Mitral valve ; Exposure ; Retractor
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2007
• 出版时间：October 2007
• 年：2007
• 卷：55
• 期：10
• 页码：440-441
• 全文大小：228KB
• 参考文献：1. Kazui, T, Osaka, H, Fujita, H (2006) Thoracic and cardiovascular surgery in Japan during 2004. Jpn J Thorac Cardiovasc Surg 54: pp. 363-86 CrossRef
  2. Larbalestier, RL, Chard, RB, Cohn, LH (1992) Optimal approach to the mitral valve: dissection of the interatrial groove. Ann Thorac Surg 54: pp. 1186-8 CrossRef
  3. Pifarre, R, Balderman, S, Sullivan, HJ, Montoya, A, Bakhos, M (1982) Technique to facilitate mitral valve exposure. Ann Thorac Surg 3: pp. 92-3 CrossRef
  
• 作者单位：Toshihiko Shibata MD (A1)
  Takashi Yasuoka MD (A1)
  Kazushige Inoue MD (A1)
  Takeshi Ikuta MD (A1)
  Yasuyuki Bito MD (A1)
  
  A1. Department of Cardiovascular Surgery, Kansai Rousai Hospital, 3-1-69 Inabaso, Amagasaki, Hyogo, 660-8511, Japan
  

文摘

We hereby present our technique for using the self-retaining flexible arm retractor and its attachments for mitral valve exposure. The Aortic Valve Assistant, which was developed for aortic valve exposure, is also very useful for exposure of the inferior wall of the left atrium. Our modified atrial hook provides excellent exposure of the anterior mitral annulus. Extensive dissection and the combined use of the flexible arm and attachments allows us comfortable access for mitral valve operations.