PMID- 2324177
OWN - NLM
STAT- MEDLINE
DCOM- 19900514
LR  - 20161026
IS  - 0021-9509 (Print)
IS  - 0021-9509 (Linking)
VI  - 31
IP  - 1
DP  - 1990 Jan-Feb
TI  - Closed mitral valvotomy in the older subject. Results in 367 consecutive 
      patients.
PG  - 14-9
AB  - To determine the safety, efficacy, operative mortality, and long-term results, we 
      reviewed 367 patients with mitral stenosis above the age of 40 who underwent 
      mitral valvotomy. In this study, the majority of the subjects belonged to 
      functional Class III and IV (97%) of the New York Heart Association (NYHA). 
      Atrial fibrillation was associated in 38 percent and mitral valve calcification 
      in 24 percent. The hospital mortality was 6.3 percent. Only 1 patient developed 
      severe mitral regurgitation requiring emergency valve replacement. Early 
      postoperative embolism occurred in only 1% of those who were in atrial 
      fibrillation and had preoperative anticoagulation. Long-term results indicate an 
      85.6 percent survival at the end of 24 years with a very low incidence of 
      restenosis. Late death occurred in 4.6%. These findings support our continuing 
      experience and impression that closed transventricular valvotomy remains the most 
      effective palliative operation in the treatment of most patients with mitral 
      stenosis. With the increasing need for cost containment in health care, this 
      technique of closed transventricular valvotomy assumes even greater importance.
FAU - John, S
AU  - John S
AD  - Department of Cardiothoracic Surgery and Cardiology, Christian Medical College & 
      Hospital, Vellore, S. India.
FAU - Bashi, V V
AU  - Bashi VV
FAU - Ravikumar, E
AU  - Ravikumar E
FAU - Jairaj, P S
AU  - Jairaj PS
FAU - Krishnaswami, S
AU  - Krishnaswami S
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Italy
TA  - J Cardiovasc Surg (Torino)
JT  - The Journal of cardiovascular surgery
JID - 0066127
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Methods
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/etiology
MH  - Mitral Valve Stenosis/mortality/*surgery
MH  - Postoperative Complications
MH  - Recurrence
MH  - Reoperation
EDAT- 1990/01/01 00:00
MHDA- 1990/01/01 00:01
CRDT- 1990/01/01 00:00
PHST- 1990/01/01 00:00 [pubmed]
PHST- 1990/01/01 00:01 [medline]
PHST- 1990/01/01 00:00 [entrez]
PST - ppublish
SO  - J Cardiovasc Surg (Torino). 1990 Jan-Feb;31(1):14-9.