An Evaluation of Mitral Valvotomy
نویسندگان
چکیده
MITRAL VALVOTOMY is now a standard procedure and in recent years many series of cases have been reported. The results of 121 cases from this hospital have been recorded (Pantridge et al., 1953). 454 patients with mitral stenosis, all of whom were assessed by one of us (J. F. P.), have now had mitral valvotomy. The results of the initial 400 operations have been subjected to critical analysis are presented here. The operations were performed by Mr. T. B. Smiley, Mr. J. A. W. Bingham and Mr. H. M. Stevenson. Of the patients 305 (78.2 per cent.) were female and 85 (21.8 per cent.) male. (Table 1). A few patients had more than one operation. The figures relate to all operations and include those where no effective commissurotomy was possible.
منابع مشابه
The Association between B-type Natriuretic Peptide Family and Successful Percutaneous Transvenous Mitral Commissurotomy: A Systematic Review
B-type natriuretic peptide (BNP) level is known to increase in patients with rheumatic mitral stenosis. In this systematic review, we aimed to discuss the possible association between plasma BNP level and the success rate of percutaneous transvenous mitral commissurotomy. PubMed and Scopus databases were searched systematically, using the following key terms: “B-type natriuretic peptide” OR “BN...
متن کاملEchocardiographic and exercise evaluation of results of mitral valvotomy operations.
M-mode echocardiography was performed in 54 patients 1 month to 3 years after mitral valvotomy for dominant mitral stenosis. The mitral valve closure index (MVCI), an index previously shown to correlate well with the calculated mitral valve area, was used to diagnose residual mitral stenosis. Using the equation MVCI = 33 MVC--12, 12 patients (22%) were deemed to have mild, 4 (7%) moderate, and ...
متن کاملInaccuracy of mitral pressure half-time immediately after percutaneous mitral valvotomy. Dependence on transmitral gradient and left atrial and ventricular compliance.
Mitral pressure half-time (T1/2) is widely used as an independent measure of mitral valve area in patients undergoing percutaneous mitral valvotomy. However, fluid dynamics theory predicts T1/2 to be strongly dependent on chamber compliance and the peak transmitral gradient, which are variables that change dramatically with valvotomy. These theoretical predictions were tested in an in vitro mod...
متن کاملSecond closed mitral valvotomy for recurrent mitral stenosis.
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...
متن کاملInoue balloon mitral valvotomy in patients with severe valvular and subvalvular deformity.
OBJECTIVES This study evaluated the immediate and long-term results of percutaneous Inoue balloon mitral valvotomy in patients with severe valvular and subvalvular deformity. METHODS We reviewed the prevalvotomy transthoracic echocardiograms of patients from the North American multicenter Inoue registry with total Massachusetts General Hospital (MGH) echocardiographic scores > or = 10. The ec...
متن کاملThe hemodynamic results of instrumental and digital valvotomy in patients with mitral stenosis.
were selected according to age, sex, cardiac rhythm, and mode of operation, the mitral valve area (MVA) was determined by cardiac catheterization in 32 patients before and 1 year following closed mitral valvotomy. There was a significantly greater increase in MVA in female patients, younger patients, and patients with sinus rhythm than in males, patients over 45 years of age, and patients with ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Ulster Medical Journal
دوره 26 شماره
صفحات -
تاریخ انتشار 1957