Left atrial or transeptal approach for mitral valve surgery: a systematic review and meta-analysis

A Harky, TE Kusu-Orkar, JSK Chan… - Current Problems in …, 2021 - Elsevier
To compare outcomes of mitral valve surgery through conventional left atriotomy and
transeptal approach (TS). Preferred Reporting Items for Systematic Reviews and Meta-
Analyses guidelines were followed. Primary outcomes were operative mortality and
permanent pacemaker (PPM) implantation; secondary outcomes were new onset of atrial
fibrillation (AF), stroke and operative times. Sixteen articles met the inclusion criteria with
4537 patients. Cardiopulmonary bypass was longer with TS (weighted mean differences …
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