Document Detail


OBSERVATIONS ON THE VALUE OF MITRAL COMMISSUROTOMY: AN ANALYSIS OF LONG-TERM RESULTS.
MedLine Citation:
PMID:  14063937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Long-term follow-up of patients subjected to mitral commissurotomy permits evaluation of the late efficacy of this operation and the causes of subsequent deterioration in some cases.Three hundred and eighty-nine patients operated upon for mitral stenosis from 1950 to 1957 were studied. Of these, 89 died, 38 were lost to follow-up and 262 were re-examined.Results for the postoperative period of five to 12 years were satisfactory in 204 patients (77%) and unsatisfactory in 58 (22%). The possible causes of deterioration were studied separately.A second commissurotomy was performed on 23 patients (8.7%), because of re-stenosis thought to be due to a rheumatic process in one and to fibrotic scarring in nine, and because of an inadequate opening in 13.Mitral commissurotomy is a palliative operation, but is definitely useful in cases of tight mitral stenosis.The duration of improvement in patients with a functionally adequate opening is related to the state of the myocardium and to the possibility of rheumatic fever recurrences. Because of the risk of fibrotic restenosis, the possibility that a second commissurotomy might be required should be considered in each patient subjected to this operation.
Authors:
O GIALLORETO; B TARDIF
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  89     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1963 Sep 
Date Detail:
Created Date:  1964-02-01     Completed Date:  1996-12-01     Revised Date:  2010-06-22    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  589-95     Citation Subset:  OM    
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MeSH Terms
Descriptor/Qualifier:
Mitral Valve Stenosis*
Postoperative Complications*
Prognosis*
Thoracic Surgery*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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