CIRCULATORY STUDIES IN MITRAL STENOSIS BEFORE AND AFTER COMMISSUROTOMY

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The haemodynamics of mitral stenosis before and after commissurotomy.

Clinical changes following mitral valvotomy are sometimes difficult to evaluate. The need for an objective method in assessing the effectiveness of surgery is apparent, and the value of combined heart catheterization in appraising the hemodynamics of mitral stenosis has been reported (Goldberg et al., 1955, 1956). A total of 58 patients have been studied by this procedure, 16 of them after as w...

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Commissurotomy for mitral stenosis.

The term "mitral commissurotomy" has been suggested to designate a procedure in which the individual anatomic leaflets of the stenotic mitral valve are surgically separated. By incising the angles or commissures of the mitral slit ("fish-mouth") a considerable degree of valve function can be re-established without the production of additional significant regurgitation. Commissurotomy, as descri...

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Circulatory Effects of Mitral Commissurotomy

Of 60 patients w'ith mitral stenosis referred as proper candidates for commissurotomy, less than half (27) proved suitable after further study. One half of these (13) had a good postoperative result as judged not only clinically but by objective physiologic measurements. The latter represent the best criteria for the effects of surgery since subjective impressions may be unreliable. Eight subje...

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[The physiologic evaluation of patients before and after mitral commissurotomy].

Cardiac catheterization is a technique which readily lends itself to the analysis of hemodynamic alterations in the cardio-pulmonary circuit caused by mitral stenosis. The purpose of this report is the evaluation of 50 patients with mitral stenosis by means of this technique, attempting thereby to determine optimal indications for mitral commissurotomy. Of the 50 patients studied, 27 subsequent...

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Systemic and pulmonary emboli before and after mitral commissurotomy.

SYSTEMIC AND PULMONARY emboli are frequent and serious complications1-3 in mitral stenosis. It has been stated4' 5 that systemic embolism occurring in patients with mitral stenosis is an indication for mitral commissurotomy, and surgery has been recommended6' 7 as an urgent or emergency procedure in patients with recent systemic embolism to prevent more episodes. In one series8 of 50 patients f...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1952

ISSN: 0003-4932

DOI: 10.1097/00000658-195203000-00002