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Ann Thorac Surg 1977;23:245-248
© 1977 The Society of Thoracic Surgeons

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Articles

Valvotomy in Young Patients with Rheumatic Mitral Stenosis

First Department of Surgery, Osaka University Medical School, Osaka, Japan

Accepted for publication April 6, 1976.

^* Address reprint requests to Dr. Manabe, First Department of Surgery, Osaka University Medical School, Fukushimaku, Osaka City, Osaka, Japan.

Twenty-nine patients younger than 18 years of age with mitral stenosis were operated upon in the Osaka University Hospital. Five patients who underwent operation in the early period of this study died postoperatively. Follow-up study was made in 20 of the surviving patients for a period of 6 to 20 years. Three died during the follow-up period. Twelve of the survivors were in NYHA Functional Class I, 4 were in Class II, and 1 was in Class III. Reactivation of rheumatic disease did not occur after mitral valvotomy.