PMID- 15769718
OWN - NLM
STAT- MEDLINE
DCOM- 20061218
LR  - 20161124
IS  - 1522-6662 (Electronic)
IS  - 1098-3511 (Linking)
VI  - 8
IP  - 1
DP  - 2005
TI  - Role of closed mitral commissurotomy for mitral stenosis: mid- and long-term 
      surgical outcome of 36 patients.
PG  - E55-9
AB  - PURPOSE: To evaluate long-term survival and valve-related complications as well 
      as prognostic factors for mid- and long-term outcome after closed mitral 
      commissurotomy, covering a follow-up period of 14 years. MATERIAL AND METHODS: 
      Between 1989 and 2003, 36 patients (28 women and 8 men, mean age 28.8 +/- 6.1 
      years) underwent closed mitral commissurotomy at our institution. The majority of 
      patients were in New York Heart Association (NYHA) functional class IIB, III, or 
      IV. Indication for closed mitral commissurotomy was mitral stenosis. Closed 
      mitral commissurotomy was undertaken with a Tubbs dilator in all cases. Median 
      operating time was 2.5 hours +/- 30 minutes. RESULTS: After closed mitral 
      commissurotomy, the mitral valve areas of these patients were increased 
      substantially, from 0.9 to 2.11 cm(2). No further operation after initial closed 
      mitral commissurotomy was required in 86% of the patients (n = 31), and NYHA 
      functional classification was improved in 94% (n = 34). Postoperative 
      complications and operative mortality were not seen. Follow-up revealed 
      restenosis in 8.5% (n = 3) of the patients, minimal mitral regurgitation in 22.2% 
      (n = 8), and grade >or=3 mitral regurgitation in 5.5% (n = 2) patients. No early 
      mortality occurred in closed mitral commissurotomy patients. Reoperation was 
      essential for 5 patients following closed mitral commissurotomy; 2 procedures 
      were open mitral commissurotomies and 3 were mitral valve replacements. No 
      mortality occurred in these patients. CONCLUSIONS: The mitral valve area was 
      significantly increased and the mean mitral valve gradient was reduced in 
      patients after closed mitral commissurotomy. Closed mitral commissurotomy is a 
      safe alternative to open mitral commissurotomy and balloon mitral commissurotomy 
      in selected patients.
FAU - Ates, Azman
AU  - Ates A
AD  - Department of Cardiovascular Surgery, Ataturk University School of Medicine, 
      Erzurum, Turkey. azmanates@yahoo.com
FAU - Unlu, Yahya
AU  - Unlu Y
FAU - Yekeler, Ibrahim
AU  - Yekeler I
FAU - Erkut, Bilgehan
AU  - Erkut B
FAU - Balci, Ahmet Yavuz
AU  - Balci AY
FAU - Ozyazicioglu, Ahmet
AU  - Ozyazicioglu A
FAU - Kocak, Hikmet
AU  - Kocak H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Heart Surg Forum
JT  - The heart surgery forum
JID - 100891112
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Cardiac Surgical Procedures
MH  - Echocardiography
MH  - Female
MH  - Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Mitral Valve/diagnostic imaging/physiopathology/*surgery
MH  - Mitral Valve Stenosis/diagnostic imaging/etiology/physiopathology/*surgery
MH  - Postoperative Period
MH  - Recurrence
MH  - Reoperation
MH  - Retrospective Studies
MH  - Rheumatic Diseases/complications
MH  - Survival Analysis
MH  - Treatment Outcome
EDAT- 2005/03/17 09:00
MHDA- 2006/12/19 09:00
CRDT- 2005/03/17 09:00
PHST- 2005/03/17 09:00 [pubmed]
PHST- 2006/12/19 09:00 [medline]
PHST- 2005/03/17 09:00 [entrez]
AID - W1ET1TTVFHHK3G6W [pii]
AID - 10.1532/HSF98.20041137 [doi]
PST - ppublish
SO  - Heart Surg Forum. 2005;8(1):E55-9. doi: 10.1532/HSF98.20041137.