Extended trans-septal and left atrial dome incision combined with Manouguian's aortotomy for complex double valve surgery.


We describe a novel surgical approach combining a trans-septal, left atrium dome incision and Manouguian incision to facilitate complex double valve (aortic and mitral) surgery. This technique provides an excellent surgical exposure and good outcomes. 
DOI: 10.1093/ejcts/ezt573


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