Extended transseptal versus conventional left atriotomy: Early postoperative study

Right Atrial Trans-Septal Approach for Left Atrial Myxomas—Nine-Year Experience

“…Utley et al 23 have reported an increased risk of loss of sinus rhythm in the early postoperative period. Kumar et al 24 …”

Comparison between inter atrial and trans-septal approach in mitral valve surgery

“…No solid indications for either approaches, but as a usual trend, most surgeons use the interatrial approach in case of isolated mitral valve surgery, large left atrium ,and when there is another intra atrial procedure like ligation of left atrial appendage or left atrial thrombectomy, although these procedure can be done using the other technique. 4 Left atrial mexoma also another entity , because different approaches can done, some surgeons use both incisions at the same time to expose the myxoma and to prevent fracture in the tumor itself when they remove it through one incision, others use only one incision according to their preference. 5 Trans-septal approach can be used in small size left atrium and in case where anther procedure will be done in addition to mitral valve surgery especially tricuspid valve repair.…”

Sinus Node Artery-preserving Superior Transseptal Approach: A Simple Technique

“…Therefore, the sinus node artery can be cut during the use of the usual superior transseptal approach. Kumar et al 5) reported that the occurrence of transient junctional rhythm in the early postoperative period is not rare. The relationships between sinus node function, atrial arrhythmias, and various surgical approaches for exposure of the mitral valve have been examined critically.…”