PMID- 10671111
OWN - NLM
STAT- MEDLINE
DCOM- 20000210
LR  - 20041117
IS  - 0019-5847 (Print)
IS  - 0019-5847 (Linking)
VI  - 97
IP  - 7
DP  - 1999 Jul
TI  - Role of closed mitral commissurotomy for mitral restenosis.
PG  - 255-8
AB  - Out of 1184 consecutive cases of rheumatic mitral stenosis treated surgically by 
      closed mitral commissurotomy (CMC) at NRS Medical College and Hospital, Calcutta, 
      20 (1.68%) were mitral valve restenosis. Twelve cases (60%) were females, The 
      median age was 32 years. Duration between the first operation and reappearance of 
      symptoms varied with a mean of 8 years. The previous operations were digital 
      dilatation and instrumental dilatation in 6 and 14 cases respectively. History of 
      thromboembolism was present in 4 cases. On echocardiography, calcification of the 
      mitral valve was present in 2 cases, left atrial clot in 4 cases, associated mild 
      to moderate mitral regurgitation in 6 cases and mild aortic regurgitation in 4 
      cases. All cases presented with New York Heart Association (NYHA) III and IV 
      symptoms. Critical stenosis (mitral valve orifice less than 0.5 cm2) was present 
      in 12 cases. Re-do CMC was undertaken in all cases with Tubb's dilator. Median 
      operating time was 2.5 hours. Satisfactory split was achieved in 13 cases. One 
      patient died during surgery. Four cases having less than satisfactory split were 
      asymptomatic on follow-up. In one case no split was possible and in another, 
      gross mitral regurgitation was noted postoperatively. These 2 cases had to 
      undergo open heart surgery. It is concluded that re-do CMC is a feasible and 
      suitable alternative in mitral restenosis even in the presence of complications.
FAU - Biswas, B
AU  - Biswas B
AD  - Department of Cardiothoracic Surgery, Vivekananda Institute of Medical Sciences & 
      RKM Seva Pratisthan, Calcutta.
FAU - Datta, S
AU  - Datta S
FAU - Dutta, A L
AU  - Dutta AL
FAU - Chakraborty, A
AU  - Chakraborty A
LA  - eng
PT  - Journal Article
PL  - India
TA  - J Indian Med Assoc
JT  - Journal of the Indian Medical Association
JID - 7505608
SB  - IM
MH  - Adult
MH  - Cardiac Surgical Procedures/*adverse effects/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Mitral Valve Stenosis/etiology/*surgery
MH  - Recurrence
MH  - Reoperation/methods
MH  - Retrospective Studies
MH  - Rheumatic Heart Disease/*complications/surgery
MH  - Treatment Outcome
EDAT- 2000/02/12 00:00
MHDA- 2000/02/12 00:01
CRDT- 2000/02/12 00:00
PHST- 2000/02/12 00:00 [pubmed]
PHST- 2000/02/12 00:01 [medline]
PHST- 2000/02/12 00:00 [entrez]
PST - ppublish
SO  - J Indian Med Assoc. 1999 Jul;97(7):255-8.