Surgery of Mitral Incompetence

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Surgery of mitral incompetence.

MITRAL valve disease has for many years been accepted as the commonest sequel of rheumatism, both clinically and pathologically. The development of stenosis has never been in question. Such has not been the case, however, with incompetence, though as long ago as I849 Hope first drew attention to this condition. The existence of mitral incompetence as an entity or even as an important component ...

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Mechanical principles in the surgery of aortic and mitral incompetence.

The operative treatment of valve stenosis has now been shown, as a result of large numbers of successful operations, to be very satisfactory. The operative treatment of valve incompetence is, however, quite another matter; in spite of various ingenious efforts no satisfactory method has yet been introduced. My own experience is that the mortality of these procedures is high and the results bad;...

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Surgical treatment of mitral incompetence.

Between October 1962 and March 1966, 101 patients with mitral disease from the Cardiac Department of the Western General Hospital in Edinburgh were treated by repair or replacement of the valve under cardiopulmonary bypass. Fifty patients had heavily sclerosed or calcified valves with pure or dominant stenosis and were treated by valve replacement. They presented a hemodynamic and technical pro...

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Genesis of diastolic sounds in mitral incompetence.

A third heart sound, followed by a diminuendo diastolic murmur, is generally accepted as characteristic of all but the most trivial grades of mitral incompetence. The genesis of these physical signs has remained controversial despite many human and animal studies. There are two main schools of thought concerning the origin ofthese sounds. The first or "extravalvar" school originated in Potain's...

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Mitral incompetence associated with lipoma infiltrating the mitral valve.

A 54 year old man presented with presyncopal symptoms. Echocardiography and subsequently computed tomography showed a mass in the posterior mitral annulus causing incompetence of the valve. At operation a lipoma was found which could not be resected. Mitral incompetence was the result of chordal rupture where the lipoma had engulfed the papillary muscle. The valve was replaced and the patient m...

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ژورنال

عنوان ژورنال: Postgraduate Medical Journal

سال: 1961

ISSN: 0032-5473

DOI: 10.1136/pgmj.37.433.666