Second closed mitral valvotomy for recurrent mitral stenosis.
Open Access
- 1 December 1977
- Vol. 32 (6) , 759-762
- https://doi.org/10.1136/thx.32.6.759
Abstract
Sixty-seven patients undergoing a second closed mitral valvotomy between 1957 and 1974 have been reviewed. Since 1951, 510 patients have had a primary closed valvotomy in the same unit. The incidence of restenosis severe enough to warrant further surgery is higher after a finger fracture procedure (40%) than after a Tubbs dilator valvotomy (9.2%). There is an operative mortality of 10.4%, and a further late mortality of 23.8% after a second closed valvotomy. Of the surviving patients, 70.5% have had a good or excellent result. The group with poor results is characterised by the presence of a calcified fixed valve, making valvotomy difficult and incomplete. In the presence of a non-calcified valve, a second valvotomy still has a place when surgery for restenosis is required.This publication has 7 references indexed in Scilit:
- Closed mitral valvotomy.BMJ, 1976
- Fifteen-to Twenty-Year Study of One Thousand Patients Undergoing Closed Mitral ValvuloplastyCirculation, 1973
- Mitral Valvotomy in the Valve Replacement EraAnnals of Surgery, 1971
- Valvotomy in calcific mitral stenosisHeart, 1970
- Indications for Closed- or Open-Heart Surgery for Mitral StenosisThe Annals of Thoracic Surgery, 1967
- Closed Valvuloplasty for Mitral StenosisNew England Journal of Medicine, 1964
- SURGICAL TREATMENT OF MITRAL STENOSIS WITH PARTICULAR REFERENCE TO THE TRANSVENTRICULAR APPROACH WITH A MECHANICAL DILATORThe Lancet, 1959