Transseptal puncture

Transseptal puncture is one of the methods of surgical intervention in cardiology. It is used to treat various heart diseases, such as mitral stenosis, arrhythmia and others.

The essence of the procedure is that the doctor passes a thin needle through the partition between the left parts of the heart - the interatrial septum. This allows access to the left atrium, where the mitral valve is located, which can be operated on or special medical devices inserted.

Transseptal puncture is a relatively safe procedure, which is performed under the control of echocardiography and electrocardiography. It can be performed either through open surgical approach or using minimally invasive methods such as catheterization or endoscopy.

Transseptal puncture is one of the most effective methods of treating mitral stenosis, a disease in which the mitral valve becomes very narrow and cannot open completely, which leads to impaired blood flow in the heart.

In addition, transseptal puncture can be used to treat various forms of arrhythmia, including atrial fibrillation. Doctors perform this procedure to block the electrical impulses that cause the arrhythmia and restore the heart's normal rhythm.

In conclusion, transseptal puncture is an important surgical technique in cardiology that can be used to treat various heart diseases. It allows doctors to perform operations or insert medical devices directly into the left atrium, which increases the effectiveness of treatment and reduces the risk of complications.



A transseptal puncture (Latin trans- “through” + septum “septum”) is a medical procedure that is used to obtain a sample of tissue or fluid from the body through the wall of the heart. This may be necessary for various medical tests, such as biopsies, drawing blood or other fluids, and for diagnostic purposes.

To perform a transseptal puncture, a special instrument called a catheter is used. It is inserted through a catheterization guide that passes through the skin and tissue to the heart. The catheter is then advanced to the location where a tissue or fluid sample is needed.

Once the catheter has reached its target, it is detached from the guidewire and a tissue or fluid sample can be obtained. The procedure usually takes about 10-15 minutes and is performed under local anesthesia.

Transseptal puncture has a number of advantages compared to other methods of sampling. It allows you to get a more accurate result, since the sample is taken from the area that is closest to the study site. Additionally, the procedure is less invasive than other methods and does not require large incisions in the skin.

However, like any medical procedure, transseptal puncture may have some risks. For example, it can cause bleeding or damage to the heart. Therefore, before performing the procedure, it is necessary to conduct a thorough examination of the patient and select the most appropriate sample collection method.

In general, transseptal puncture is an important tool in medical practice, which allows you to obtain accurate results and reduce the risk of complications.