PMID- 421547
OWN - NLM
STAT- MEDLINE
DCOM- 19790523
LR  - 20190514
IS  - 0012-3692 (Print)
IS  - 0012-3692 (Linking)
VI  - 75
IP  - 2
DP  - 1979 Feb
TI  - The advantages of open mitral commissurotomy for mitral stenosis.
PG  - 131-5
AB  - Mitral commissurotomy is the treatment of choice for mitral stenosis. If this is 
      not feasible, replacement of the valve becomes necessary. Open commissurotomy has 
      been performed at Loyola University Medical Center, Maywood, Ill, in 105 patients 
      since 1970. The mean age was 45 years. The indication for surgery was heart 
      failure in 92 of the cases. Sixty of the patients were in class 3 of the New York 
      Heart Association (NYHA) classification. Eighty-five underwent open mitral 
      commissurotomy alone. This was not feasible in 42 patients scheduled for it who 
      required valvular replacement. Twenty-five patients had a left atrial thrombus. 
      Two patients died, one from aortic dissection and the other from acute infarction 
      in the perioperative period. Ninety-eight patients are NYHA class 1 or 2 at 
      present. Two patients required valvular replacement following the commissurotomy. 
      The low mobidity and mortality with excellent long-term results support our 
      contention that open mitral commissurotomy is the treatment of choice for mitral 
      stenosis.
FAU - Montoya, A
AU  - Montoya A
FAU - Mulet, J
AU  - Mulet J
FAU - Pifarre, R
AU  - Pifarre R
FAU - Moran, J M
AU  - Moran JM
FAU - Sullivan, H J
AU  - Sullivan HJ
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Chest
JT  - Chest
JID - 0231335
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Prosthesis
MH  - Humans
MH  - Male
MH  - Methods
MH  - Middle Aged
MH  - Mitral Valve/physiopathology
MH  - Mitral Valve Stenosis/mortality/physiopathology/*surgery
MH  - Postoperative Complications/mortality
EDAT- 1979/02/01 00:00
MHDA- 1979/02/01 00:01
CRDT- 1979/02/01 00:00
PHST- 1979/02/01 00:00 [pubmed]
PHST- 1979/02/01 00:01 [medline]
PHST- 1979/02/01 00:00 [entrez]
AID - S0012-3692(15)30514-6 [pii]
AID - 10.1378/chest.75.2.131 [doi]
PST - ppublish
SO  - Chest. 1979 Feb;75(2):131-5. doi: 10.1378/chest.75.2.131.