Open mitral valvulotomy |
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| Authors: | B B Roe L H Edmunds N H Fishman J C Hutchinson |
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| Affiliation: | 1. Department of Mathematics, Pabna University of Science and Technology, Bangladesh;2. Department of Applied Mathematics, University of Rajshahi, Bangladesh;3. Department of Computer Engineering, Biruni University, Istanbul, Turkey;4. Department of Mathematics, Science Faculty, Firat University, Elazig, Turkey;5. Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan;1. Ronald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, New York, New York;2. Department of Emergency Medicine, Bellevue Hospital Center, New York, New York;3. Department of Population Health, New York University Grossman School of Medicine, New York, New York;4. Institute for Innovations in Medical Education, New York University School of Medicine, New York, New York;1. School of Biological Sciences, Monash University, Clayton Campus, VIC 3800, Australia;2. School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia QLD 4072, Australia;1. Agfa-HealthCare NV, Septestraat 27, B-2640 Mortsel, Belgium;2. Electron Magnetic Resonance Research Group, Department of Solid State Sciences, Ghent University, Krijgslaan 281-S1, B-9000 Gent, Belgium |
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| Abstract: | A five-year experience with routine open visualization of the mitral valve in 95 patients with mitral stenosis resulted in salvage of 53 valves and replacement of 42. The subvalvular structures were often thickened and fused, and meticulous dissection was necessary to produce adequate mobilization of the valve leaflets.An operative mortality of 1 death among the 53 patients undergoing commissurotomy attests to the safety of the procedure, but immediate functional results were not significantly better than with the closed method. Sufficient mobilization to produce a wide-open orifice in the relaxed state may be an important factor in the functional result. |
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