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Reoperation for Mitral Stenosis

Reoperation for Mitral Stenosis Abstract Follow-up studies of relatively large groups of patients with mitral stenosis, after treatment by mitral commissurotomy, demonstrate that there is a gradual deterioration of good results with the passage of time.1-4 Although a number of factors may be responsible for this steady deterioration, most of the late failures reflect an initially incomplete operation, true restenosis of a completely opened valve occurring less commonly.5 It is hoped that the current widespread use of the transventricular dilator will reduce the percentage of patients requiring reoperation; yet the fact remains that increasing numbers of patients operated on by other techniques are now presenting themselves with recurrent symptoms and are again candidates for operation. The widening scope of open-heart surgery and the availability of other procedures make it desirable that the role of each technique in the management of patients with acquired lesions of the mitral valve be clarified. Accordingly, we have References 1. We are grateful to Drs. J. W. Kirklin and D. C. McGoon for permission to include patients operated on by them. 2. Likoff, W., and Uricchio, J. F.: Results of Mitral Commissurotomy: Clinical Status of 200 Patients 5 to 8 Years After Operation , J.A.M.A. 166:737-740 ( (Feb. 15) ) 1958.Crossref 3. Ellis, F. H., Jr.; Connolly, D. C.; Kirklin, J. W., and Parker, R. L.: Results of Mitral Commissurotomy: Follow-Up of 3½ to 7 Years , A.M.A. Arch. Intern. Med. 102:928-935 ( (Dec.) ) 1958.Crossref 4. Ellis, L. B.; Harken, D. E., and Black, H.: A Clinical Study of 1,000 Consecutive Cases of Mitral Stenosis 2 to 9 Years After Mitral Valvuloplasty , Circulation 19:803-820 ( (June) ) 1959.Crossref 5. Baker, C., and Hancock, W. E.: Deterioration After Mitral Valvotomy , Brit. Heart J. 22:281-294 ( (Apr.) ) 1960.Crossref 6. Belcher, J. R.: Restenosis of the Mitral Valve: An Account of 50 Second Operations , Lancet 1:181-184 ( (Jan. 23) ) 1960.Crossref 7. Ellis, F. H., Jr.; Kirklin, J. W.; Parker, R. L.; Burchell, H. B., and Wood, E. H.: Mitral Commissurotomy: An Over-All Appraisal of Clinical and Hemodynamic Results , A.M.A. Arch. Intern. Med. 94:774-784 ( (Nov.) ) 1954.Crossref 8. Patterson, G. C., and Marshall, J. R.: Mitral Restenosis , Brit. Heart J. 21:174-176, 1959.Crossref 9. Ross, J. K.: Failed Mitral Valvotomy , Thorax 14:320-326 ( (Dec.) ) 1959.Crossref 10. Wilcken, D. E. L.: Mitral Valvotomy and Restenosis , Brit. Med. J. 1:681-687 ( (March 5) ) 1960.Crossref 11. Harken, D. E.; Black, H.; Taylor, W. J.; Thrower, W. B., and Ellis, L. B.: Reoperation for Mitral Stenosis: A Discussion of Postoperative Deterioration and Methods of Improving Initial and Secondary Operation , Circulation 23:7-12 ( (Jan.) ) 1961.Crossref 12. Bailey, C. P., and Morse, D. P.: Mitral Commissurotomy Performed From the Right Side , J. Thor. Cardiov. Surg. 33:427-486 ( (April) ) 1954. 13. Logan, A., and Turner, R.: Surgical Treatment of Mitral Stenosis with Particular Reference to the Transventricular Approach with a Mechanical Dilator , Lancet 2:874-880 ( (Nov. 21) ) 1959.Crossref 14. Morrow, A. G., and Braunwald, N. S.: Transventricular Mitral Commissurotomy: Surgical Technique and a Hemodynamic Evaluation of the Method , J. Thor. Cardiov. Surg. 41:225-235 ( (Feb.) ) 1961. 15. Bailey, C. P.: Recent Developments in the Surgical Treatment of Mitral Stenosis , Prog. Cardiov. Dis. 4:270 ( (Nov.) ) 1961.Crossref 16. Kay, E. B.; Nogueira, C., and Zimmerman, H. A.: Surgical Treatment of Mitral Stenosis by Open Technique , J.A.M.A. 173:1644-1649 ( (Aug. 13) ) 1960.Crossref 17. Gilbert, J. W., and Morrow, A. G.: The Surgical Treatment of Residual or Recurrent Mitral Stenosis: Clinical and Hemodynamic Observations and Operative Results , Arch. Surg. 81:877-882 ( (Dec.) ) 1960.Crossref 18. Nichols, H. T.; Blanco, G.; Uricchio, J. F., and Likoff, W.: Open-Heart Surgery for Mitral Regurgitation and Stenosis , Arch. Surg. 82:128-136 ( (Jan.) ) 1961.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1962.01310040147016
Publisher site
See Article on Publisher Site

Abstract

Abstract Follow-up studies of relatively large groups of patients with mitral stenosis, after treatment by mitral commissurotomy, demonstrate that there is a gradual deterioration of good results with the passage of time.1-4 Although a number of factors may be responsible for this steady deterioration, most of the late failures reflect an initially incomplete operation, true restenosis of a completely opened valve occurring less commonly.5 It is hoped that the current widespread use of the transventricular dilator will reduce the percentage of patients requiring reoperation; yet the fact remains that increasing numbers of patients operated on by other techniques are now presenting themselves with recurrent symptoms and are again candidates for operation. The widening scope of open-heart surgery and the availability of other procedures make it desirable that the role of each technique in the management of patients with acquired lesions of the mitral valve be clarified. Accordingly, we have References 1. We are grateful to Drs. J. W. Kirklin and D. C. McGoon for permission to include patients operated on by them. 2. Likoff, W., and Uricchio, J. F.: Results of Mitral Commissurotomy: Clinical Status of 200 Patients 5 to 8 Years After Operation , J.A.M.A. 166:737-740 ( (Feb. 15) ) 1958.Crossref 3. Ellis, F. H., Jr.; Connolly, D. C.; Kirklin, J. W., and Parker, R. L.: Results of Mitral Commissurotomy: Follow-Up of 3½ to 7 Years , A.M.A. Arch. Intern. Med. 102:928-935 ( (Dec.) ) 1958.Crossref 4. Ellis, L. B.; Harken, D. E., and Black, H.: A Clinical Study of 1,000 Consecutive Cases of Mitral Stenosis 2 to 9 Years After Mitral Valvuloplasty , Circulation 19:803-820 ( (June) ) 1959.Crossref 5. Baker, C., and Hancock, W. E.: Deterioration After Mitral Valvotomy , Brit. Heart J. 22:281-294 ( (Apr.) ) 1960.Crossref 6. Belcher, J. R.: Restenosis of the Mitral Valve: An Account of 50 Second Operations , Lancet 1:181-184 ( (Jan. 23) ) 1960.Crossref 7. Ellis, F. H., Jr.; Kirklin, J. W.; Parker, R. L.; Burchell, H. B., and Wood, E. H.: Mitral Commissurotomy: An Over-All Appraisal of Clinical and Hemodynamic Results , A.M.A. Arch. Intern. Med. 94:774-784 ( (Nov.) ) 1954.Crossref 8. Patterson, G. C., and Marshall, J. R.: Mitral Restenosis , Brit. Heart J. 21:174-176, 1959.Crossref 9. Ross, J. K.: Failed Mitral Valvotomy , Thorax 14:320-326 ( (Dec.) ) 1959.Crossref 10. Wilcken, D. E. L.: Mitral Valvotomy and Restenosis , Brit. Med. J. 1:681-687 ( (March 5) ) 1960.Crossref 11. Harken, D. E.; Black, H.; Taylor, W. J.; Thrower, W. B., and Ellis, L. B.: Reoperation for Mitral Stenosis: A Discussion of Postoperative Deterioration and Methods of Improving Initial and Secondary Operation , Circulation 23:7-12 ( (Jan.) ) 1961.Crossref 12. Bailey, C. P., and Morse, D. P.: Mitral Commissurotomy Performed From the Right Side , J. Thor. Cardiov. Surg. 33:427-486 ( (April) ) 1954. 13. Logan, A., and Turner, R.: Surgical Treatment of Mitral Stenosis with Particular Reference to the Transventricular Approach with a Mechanical Dilator , Lancet 2:874-880 ( (Nov. 21) ) 1959.Crossref 14. Morrow, A. G., and Braunwald, N. S.: Transventricular Mitral Commissurotomy: Surgical Technique and a Hemodynamic Evaluation of the Method , J. Thor. Cardiov. Surg. 41:225-235 ( (Feb.) ) 1961. 15. Bailey, C. P.: Recent Developments in the Surgical Treatment of Mitral Stenosis , Prog. Cardiov. Dis. 4:270 ( (Nov.) ) 1961.Crossref 16. Kay, E. B.; Nogueira, C., and Zimmerman, H. A.: Surgical Treatment of Mitral Stenosis by Open Technique , J.A.M.A. 173:1644-1649 ( (Aug. 13) ) 1960.Crossref 17. Gilbert, J. W., and Morrow, A. G.: The Surgical Treatment of Residual or Recurrent Mitral Stenosis: Clinical and Hemodynamic Observations and Operative Results , Arch. Surg. 81:877-882 ( (Dec.) ) 1960.Crossref 18. Nichols, H. T.; Blanco, G.; Uricchio, J. F., and Likoff, W.: Open-Heart Surgery for Mitral Regurgitation and Stenosis , Arch. Surg. 82:128-136 ( (Jan.) ) 1961.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1962

References