A 25-year experience with the closed method of treatment in 139 patients with mitral stenosis

Tomas Salerno, I. R. Neilson, E. J P Charrette, R. B. Lynn

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

A 25-year experience with 139 patients undergoing closed mitral commissurotomy is reviewed. The primary indication for closed mitral commissurotomy was mitral stenosis, but 24 patients also had other less important valvular defects. Preoperatively, all patients were in New York Heart Association (NYHA) Functional Class III or IV. Average age was 46 years (range, 18 to 77 years). There were 24 men and 115 women. No further operation after initial closed mitral commissurotomy was required in 68% of the patients (95 patients), and NYHA Functional Classification was improved in 93%. Postoperative complications occurred in 3%, and operative mortality was 2.0%. Follow-up revealed restenosis in 6% of the patients, mitral regurgitation in 14%, complications in 7%, and late deaths in 3%. Reoperation, required in 32% (44 of 139 patients), included a second closed mitral commissurotomy (21 patients), open mitral commissurotomy (3), mitral valve replacement (MVR) (18), and MVR after a second closed mitral commisurotomy (2). Improvement in NYHA classification was found in 82% of these patients. Opertive mortality was 9.5% for patients having a second closed mitral commissurotomy and 20% for those having MVR.

Original languageEnglish
Pages (from-to)300-304
Number of pages5
JournalAnnals of Thoracic Surgery
Volume31
Issue number4
StatePublished - Jan 1 1981
Externally publishedYes

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Mitral Valve Stenosis
Mitral Valve
Therapeutics
Mortality
Mitral Valve Insufficiency
Reoperation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

A 25-year experience with the closed method of treatment in 139 patients with mitral stenosis. / Salerno, Tomas; Neilson, I. R.; Charrette, E. J P; Lynn, R. B.

In: Annals of Thoracic Surgery, Vol. 31, No. 4, 01.01.1981, p. 300-304.

Research output: Contribution to journalArticle

Salerno, Tomas ; Neilson, I. R. ; Charrette, E. J P ; Lynn, R. B. / A 25-year experience with the closed method of treatment in 139 patients with mitral stenosis. In: Annals of Thoracic Surgery. 1981 ; Vol. 31, No. 4. pp. 300-304.
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