New approaches for mitral valve surgery without opening the left atrium

Jeffrey Shuhaiber, Marcos Nores


From the turn of this century and beginnings of treating the mitral valve prior to the era of the heart-lung machine, surgeon pioneers such as Drs. Cuttler, Souttar and Brock were relieving mitral valve stenosis using finger or a dilator inserted in the left atrial appendage and the left ventricular apex (1,2).