Abstract
The results of transventricular mitral valvotomy in 50 cases of heavily calcified mitral stenosis are presented.
The mortality and quality of results in patients undergoing a first valvotomy were more satisfactory than in patients undergoing a second operation. Associated mitral incompetence has an adverse effect on the results, particularly after a second operation.
As a result, it is suggested that closed valvotomy, in these circumstances, is only acceptable for patients who are undergoing a first operation and who have minimal or no regurgitation. Valve replacement is advised for all other cases.
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Selected References
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- Belcher J. R. What are the indications for mitral valve replacement? Br Med J. 1966 Dec 17;2(5528):1486–1489. doi: 10.1136/bmj.2.5528.1486. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Edmunds L. H., Jr, Wooler G. H., Watson D. A. Clinical experience with the Alvarez and Starr-Edwards prosthetic mitral valves. J Thorac Cardiovasc Surg. 1966 Feb;51(2):185–194. [PubMed] [Google Scholar]
- GOODWIN J. F., HUNTER J. D., CLELAND W. P., DAVIES L. G., STEINER R. E. Mitral valve disease and mitral valvotomy. Br Med J. 1955 Sep 3;2(4939):573–585. doi: 10.1136/bmj.2.4939.573. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hamer J., Boulton T., Fleming J., Hayward G. W., Hill I. M., Monro I., Simon G., Tubbs C. S. Mitral valve replacement: long-term results, with particular reference to changes in pulmonary vascular resistance. Thorax. 1968 Jan;23(1):1–10. doi: 10.1136/thx.23.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kastor J. A., Akbarian M., Buckley M. J., Dinsmore R. E., Sanders C. A., Scannell J. G., Austen W. G. Paravalvular leaks and hemolytic anemia following insertion of Starr-Edwards aortic and mitral valves. J Thorac Cardiovasc Surg. 1968 Aug;56(2):279–288. [PubMed] [Google Scholar]
- Kitchin A., Turner R. Calcification of the mitral valve. Results of valvotomy in 100 cases. Br Heart J. 1967 Mar;29(2):137–161. doi: 10.1136/hrt.29.2.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Michell G. Calcific Mitral Stenosis and Mitral Valvotomy. Br Med J. 1960 Mar 5;1(5174):687–691. doi: 10.1136/bmj.1.5174.687. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zerbini E. J., Bittencourt D., Pileggi F., Jatene A. Surgical correction of aortic and mitral valve lesions. Results in a series of 105 patients who underwent valvular replacement with the Starr prosthesis. J Thorac Cardiovasc Surg. 1966 Apr;51(4):474–483. [PubMed] [Google Scholar]