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The Surgical Treatment of Residual or Recurrent Mitral Stenosis: Clinical and Hemodynamic Observations and Operative Results

The Surgical Treatment of Residual or Recurrent Mitral Stenosis: Clinical and Hemodynamic... Abstract Surgery has been generally employed in the treatment of mitral stenosis for over a decade. The opportunity for long-term follow-up of patients operated upon and the wider application of hemodynamic methods in evaluating the surgical result have called to attention an increasing number of patients who have not been improved by mitral commissurotomy and in whom reoperation must be considered. Repeat operation has been performed at the National Heart Institute in 13 patients. The pertinent clinical and hemodynamic data relative to these patients, the operative findings and results form the subject of this report. Clinical and Hemodynamic Findings The 13 patients ranged in ages from 27 to 45 years; there were 9 women and 4 men. Ten patients had had one previous operation for mitral stenosis, and 2 had been operated upon twice before. All had experienced symptoms attributable to mitral stenosis before the first operation, and systemic arterial emboli References 1. Bailey, C. P., and Morse, D.: Mitral Commissurotomy Performed from the Right Side , J. Thoracic Surg. 33:427, 1957. 2. Kelly, E. R.; Morrow, A. G., and Braunwald, E.: Catheterization of the Left Side of the Heart: A Key to the Solution of Some Perplexing Problems in Cardiovascular Diagnosis and Management, New England J. Med., to be published. 3. Morrow, A. G.; Braunwald, E.; Haller, J. A., Jr., and Sharp, E. H.: Left Heart Catheterization by the Transbronchial Route: Technic and Application in Physiologic and Diagnostic Investigations , Circulation 16:1033, 1957.Crossref 4. Morrow, A. G.; Braunwald, E.; Haller, J. A., Jr., and Sharp, E. H.: Left Atrial Pressure Pulse in Mitral Valve Disease , Circulation 16:399, 1957.Crossref 5. Morrow, A. G., and Braunwald, N. S.: Trans-ventricular Mitral Commissurotomy: Surgical Technique and a Hemodynamic Evaluation of the Method, J. Thoracic Surg., to be published. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Surgical Treatment of Residual or Recurrent Mitral Stenosis: Clinical and Hemodynamic Observations and Operative Results

Archives of Surgery , Volume 81 (6) – Dec 1, 1960

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1960.01300060023005
Publisher site
See Article on Publisher Site

Abstract

Abstract Surgery has been generally employed in the treatment of mitral stenosis for over a decade. The opportunity for long-term follow-up of patients operated upon and the wider application of hemodynamic methods in evaluating the surgical result have called to attention an increasing number of patients who have not been improved by mitral commissurotomy and in whom reoperation must be considered. Repeat operation has been performed at the National Heart Institute in 13 patients. The pertinent clinical and hemodynamic data relative to these patients, the operative findings and results form the subject of this report. Clinical and Hemodynamic Findings The 13 patients ranged in ages from 27 to 45 years; there were 9 women and 4 men. Ten patients had had one previous operation for mitral stenosis, and 2 had been operated upon twice before. All had experienced symptoms attributable to mitral stenosis before the first operation, and systemic arterial emboli References 1. Bailey, C. P., and Morse, D.: Mitral Commissurotomy Performed from the Right Side , J. Thoracic Surg. 33:427, 1957. 2. Kelly, E. R.; Morrow, A. G., and Braunwald, E.: Catheterization of the Left Side of the Heart: A Key to the Solution of Some Perplexing Problems in Cardiovascular Diagnosis and Management, New England J. Med., to be published. 3. Morrow, A. G.; Braunwald, E.; Haller, J. A., Jr., and Sharp, E. H.: Left Heart Catheterization by the Transbronchial Route: Technic and Application in Physiologic and Diagnostic Investigations , Circulation 16:1033, 1957.Crossref 4. Morrow, A. G.; Braunwald, E.; Haller, J. A., Jr., and Sharp, E. H.: Left Atrial Pressure Pulse in Mitral Valve Disease , Circulation 16:399, 1957.Crossref 5. Morrow, A. G., and Braunwald, N. S.: Trans-ventricular Mitral Commissurotomy: Surgical Technique and a Hemodynamic Evaluation of the Method, J. Thoracic Surg., to be published.

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1960

References

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