Re-operation for Failed Mitral Valvulotomy

Valvulotomy for Mitral Stenosis

SIR LAUDER BRUNTON (1902) suggested that the only proper and logical approach to the problem of mitral stenosis was "to lengthen the slit." This suggestion has now been carried into effect. Allen and Graham (1922) and Pribram (1926) published single unsuccessful cases. Souttar (1925) described a case which survived the operation and was said to have been improved. He employed his finger to dila...

Observations on the hyponatremia following mitral valvulotomy.

Bronchial hyperreactivity in patients with mitral stenosis before and after successful percutaneous mitral balloon valvulotomy.

OBJECTIVES We aimed to identify the bronchial response to inhaled methacholine in patients with mitral stenosis (MS) and to clarify whether or not the bronchial hyperreactivity (BHR) is reversible after percutaneous mitral balloon valvulotomy (PBMV). PATIENTS AND SETTING Thirty patients with MS and 28 age-matched healthy control subjects were prospectively evaluated with pulmonary function te...

Port-access surgery as elective approach for mitral valve operation in re-do procedures.

BACKGROUND Re-do mitral valve procedures performed through median sternotomy carry substantial mortality and morbidity. To avoid complications of sternal re-entry and to provide adequate mitral valve exposure, antero-lateral thoracotomy has been suggested by some authors. METHODS From October 1997 to January 2007, 677 mitral valve operations have been performed in our centre using port-access...

Valvulotomy for Pulmonary

An earlier paper, reporting 3 successful cases (Brock, 1948), showed the feasibility of valvulotomy for the relief of pulmonary valvular stenosis. The present paper deals with our clinical and operative experience in 33 cases-a number large enough to allow certain conclusions to be drawn. Of the 33 patients submitted to operation, 18 had pure pulmonary stenosis, by which we mean pulmonary valvu...