Hemodynamic Studies Before and After Instrumental Mitral Commissurotomy

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Hemodynamic Studies Before and After Instrumental Mitral

surgery and to enhance our understanding of the pathophysiology of mitral stenosis. Although surgery produced a significant increase in calculated mitral valve area, the degree of improvement varied markedly. The younger patients had the greater increase in mitral valve area. The change in cardiac index and pulmonary vascular resistance correlated well with the change in mitral valve area. Only...

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Hemodynamic studies before and after instrumental mitral commissurotomy. A reappraisal of the pathophysiology of mitral stenosis and the efficacy of mitral valvotomy.

surgery and to enhance our understanding of the pathophysiology of mitral stenosis. Although surgery produced a significant increase in calculated mitral valve area, the degree of improvement varied markedly. The younger patients had the greater increase in mitral valve area. The change in cardiac index and pulmonary vascular resistance correlated well with the change in mitral valve area. Only...

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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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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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ژورنال

عنوان ژورنال: Circulation

سال: 1968

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.38.2.261