Treatment of Mitral Stenosis with Closed Commissurotomy——A Clinical Analysis of 105 cases
- VernacularTitle:闭式瓣膜扩张术治疗风心病二尖瓣狭窄症(附105例临床分析)
- Author:
Yujie WANG
- Publication Type:Journal Article
- From:Journal of Third Military Medical University
1983;0(04):-
- CountryChina
- Language:Chinese
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Abstract:
This paper reports the results of 105 cases of mitral stenosis treated with closed commissurotomy. 72 out of the 105 cases were simple mitral stenosis while the remaining 33 were mitral stenosis complicated with mitral insufficiency of mild degree.Before operation, the diameter of the stenosed orifice was smaller than 0.8 cm in 23 cases, between 0.8 and 1.2 cm in 57, and between 1.2 and 2.5 cm in 25. The leaflets of the valve were fibre-adhered in 6 cases and fibro-thickened in 90. In 9 cases the mitral valve was funnel in shape due to the shortening of chordae tendineae.The operation was performed through a left thoracoslomy in 98 cases and a right thoracostomy in 7. After dilatation, the diameter of the mitral orifice was smaller than 3 cm in 13 cases, between 3 and 3.5 cm in 87, and larger than 3.5 cm in 5. The largest diameter was 3.9 cm. Early postoperative death occurred in 2 cases and the mortality rate was 1.9%.75 cases (71.4%) were followed up for 7 months to 8 years respectively. Good results with marked improvement occurred in 67 cases (89.3%) , no change in 2, poor results with worsened condition in 2. Two cases died during the follow-up course.In addition, the role of closed commissurotomy in the treatment of mitral stenosis, the selection of patients, and the optimal dilatation of the orifice were discussed according to the clinical data.
