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. 1983 Jul;50(1):4–7. doi: 10.1136/hrt.50.1.4

Open mitral valvotomy: fourteen years' experience.

P H Kay, P Belcher, K Dawkins, S C Lennox
PMCID: PMC481364  PMID: 6860510

Abstract

During the period 1968 to 1980, 222 patients with mitral valve disease in which stenosis was the dominant lesion were admitted under the care of the senior author. All patients presented with severe dyspnoea (NYHA grades 3 or 4). One hundred and fifty seven (71%) patients were treated by open mitral valvotomy. One patient died within 30 days of operation (0.6% hospital mortality) and one suffered a transient cerebrovascular accident. One hundred and twenty four (70%) patients were followed up for one to 14 years (mean 7.5 years). There were seven late deaths. Actuarial curves predict the 90.2% 10 year survival after open mitral valvotomy. Eight patients required mitral valve replacement for restenosis corresponding to 16% at 10 years. The remaining patients are in NYHA grades 1 and 2.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aronstam E. M., Geiger J. P., Gillespie J. T. Reoperation for mitral stenosis. J Thorac Cardiovasc Surg. 1968 Jun;55(6):783–785. [PubMed] [Google Scholar]
  2. BAKER C., HANCOCK W. E. Deterioration after mitral valvotomy. Br Heart J. 1960 Apr;22:281–294. doi: 10.1136/hrt.22.2.281. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. BELCHER J. R. Restenosis of the mitral valve: an account of fifty second operations. Lancet. 1960 Jan 23;1(7117):181–184. doi: 10.1016/s0140-6736(60)90106-9. [DOI] [PubMed] [Google Scholar]
  4. Bakoulas G., Mullard K. Mitral valvotomy and embolism. Thorax. 1966 Jan;21(1):43–46. doi: 10.1136/thx.21.1.43. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Belcher J. R. Restenosis of the mitral valve. Ann R Coll Surg Engl. 1979 Jul;61(4):258–264. [PMC free article] [PubMed] [Google Scholar]
  6. Björk V. O., Henze A. Ten years' experience with the Björk-Shiley tilting disc valve. J Thorac Cardiovasc Surg. 1979 Sep;78(3):331–342. [PubMed] [Google Scholar]
  7. CUTLER S. J., EDERER F. Maximum utilization of the life table method in analyzing survival. J Chronic Dis. 1958 Dec;8(6):699–712. doi: 10.1016/0021-9681(58)90126-7. [DOI] [PubMed] [Google Scholar]
  8. Dekker A., Black H., Von Lichtenberg F. Mitral valve restenosis: a pathologic study. J Thorac Cardiovasc Surg. 1968 Mar;55(3):434–446. [PubMed] [Google Scholar]
  9. Finnegan J. O., Gray D. C., MacVaugh H., 3rd, Joyner C. R., Johnson J. The open approach to mitral commissurotomy. J Thorac Cardiovasc Surg. 1974 Jan;67(1):75–82. [PubMed] [Google Scholar]
  10. Grunkemeier G. L., Starr A. Actuarial analysis of surgical results: rationale and method. Ann Thorac Surg. 1977 Nov;24(5):404–408. doi: 10.1016/s0003-4975(10)63431-5. [DOI] [PubMed] [Google Scholar]
  11. Halseth W. L., Elliott D. P., Walker E. L. Simplified intraoperative technique to test mitral valve repair. J Thorac Cardiovasc Surg. 1980 Nov;80(5):792–793. [PubMed] [Google Scholar]
  12. Halseth W. L., Elliott D. P., Walker E. L., Smith E. A. Open mitral commissurotomy. A modern re-evaluation. J Thorac Cardiovasc Surg. 1980 Dec;80(6):842–848. [PubMed] [Google Scholar]
  13. Housman L. B., Bonchek L., Lambert L., Grunkemeier G., Starr A. Prognosis of patients after open mitral commissurotomy. Actuarial analysis of late results in 100 patients. J Thorac Cardiovasc Surg. 1977 May;73(5):742–745. [PubMed] [Google Scholar]
  14. King H., Csicsko J., Leshnower A. Intraoperative assessment of the mitral valve following reconstructive procedures. Ann Thorac Surg. 1980 Jan;29(1):81–83. doi: 10.1016/s0003-4975(10)61634-7. [DOI] [PubMed] [Google Scholar]
  15. Kirklin J. W., Pacifico A. D. Surgery for acquired valvular heart disease. 2. N Engl J Med. 1973 Jan 25;288(4):194–199. doi: 10.1056/NEJM197301252880407. [DOI] [PubMed] [Google Scholar]
  16. LOGAN A., LOWTHER C. P., TURNER R. W. Reoperation for mitral stenosis. Lancet. 1962 Mar 3;1(7227):443–449. doi: 10.1016/s0140-6736(62)91416-2. [DOI] [PubMed] [Google Scholar]
  17. Macmanus Q., Grunkemeier G. L., Lambert L. E., Starr A. Non--cloth-covered caged-ball prostheses. The second decade. J Thorac Cardiovasc Surg. 1978 Dec;76(6):788–794. [PubMed] [Google Scholar]
  18. Mullin M. J., Engelman R. M., Isom O. W., Boyd A. D., Glassman E., Spencer F. C. Experience with open mitral commissurotomy in 100 consecutive patients. Surgery. 1974 Dec;76(6):974–982. [PubMed] [Google Scholar]
  19. Oyer P. E., Stinson E. B., Reitz B. A., Miller D. C., Rossiter S. J., Shumway N. E. Long-term evaluation of the porcine xenograft bioprosthesis. J Thorac Cardiovasc Surg. 1979 Sep;78(3):343–350. [PubMed] [Google Scholar]
  20. Pagliero K. M., Yates A. K. Peroperative assessment of mitral valve function. J Thorac Cardiovasc Surg. 1972 Mar;63(3):458–460. [PubMed] [Google Scholar]
  21. Roe B. B., Edmunds L. H., Jr, Fishman N. H., Hutchinson J. C. Open mitral valvulotomy. Ann Thorac Surg. 1971 Nov;12(5):483–491. doi: 10.1016/s0003-4975(10)65795-5. [DOI] [PubMed] [Google Scholar]
  22. Schweizer P., Bardos P., Krebs W., Erbel R., Minale C., Imm S., Messmer B. J., Effert S. Morphometric investigations in mitral stenosis using two dimensional echocardiography. Br Heart J. 1982 Jul;48(1):54–60. doi: 10.1136/hrt.48.1.54. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. St John Sutton M., Roudaut R., Oldershaw P., Bricaud H. Echocardiographic assessment of left ventricular filling characteristics after mitral valve replacement with the St Jude medical prosthesis. Br Heart J. 1981 Apr;45(4):365–368. doi: 10.1136/hrt.45.4.365. [DOI] [PMC free article] [PubMed] [Google Scholar]

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