PMID- 7212831
OWN - NLM
STAT- MEDLINE
DCOM- 19810521
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 31
IP  - 4
DP  - 1981 Apr
TI  - A 25-year experience with the closed method of treatment in 139 patients with 
      mitral stenosis.
PG  - 300-4
AB  - A 25-year experience with 139 patients undergoing closed mitral commissurotomy is 
      reviewed. The primary indication for closed mitral commissurotomy was mitral 
      stenosis, but 24 patients also had other less important valvular defects. 
      Preoperatively, all patients were in New York Heart Association (NYHA) Functional 
      Class III or IV. Average age was 46 years (range, 18 to 77 years). There were 24 
      men and 115 women. No further operation after initial closed mitral 
      commissurotomy was required in 68% of the patients (95 patients), and NYHA 
      Functional Classification was improved in 93%. Postoperative complications 
      occurred in 3%, and operative mortality was 2.0%. Follow-up revealed restenosis 
      in 6% of the patients, mitral regurgitation in 14%, complications in 7%, and late 
      deaths in 3%. Reoperation, required in 32% (44 of 139 patients), included a 
      second closed mitral commissurotomy (21 patients), open mitral commissurotomy 
      (3), mitral valve replacement (MVR) (18), and MVR after a second closed mitral 
      commissurotomy (2). Improvement in NYHA classification was found in 82% of these 
      patients. Operative mortality was 9.5% for patients having a second closed mitral 
      commissurotomy and 20% for those having MVR.
FAU - Salerno, T A
AU  - Salerno TA
FAU - Neilson, I R
AU  - Neilson IR
FAU - Charrette, E J
AU  - Charrette EJ
FAU - Lynn, R B
AU  - Lynn RB
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Heart/physiology
MH  - *Heart Valve Prosthesis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/complications
MH  - Mitral Valve Stenosis/complications/mortality/*surgery
MH  - Postoperative Complications/surgery
EDAT- 1981/04/01 00:00
MHDA- 1981/04/01 00:01
CRDT- 1981/04/01 00:00
PHST- 1981/04/01 00:00 [pubmed]
PHST- 1981/04/01 00:01 [medline]
PHST- 1981/04/01 00:00 [entrez]
AID - S0003-4975(10)60954-X [pii]
AID - 10.1016/s0003-4975(10)60954-x [doi]
PST - ppublish
SO  - Ann Thorac Surg. 1981 Apr;31(4):300-4. doi: 10.1016/s0003-4975(10)60954-x.