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Ann Thorac Surg 1978;25:354-355
© 1978 The Society of Thoracic Surgeons

Articles

Intraoperative Assessment of Mitral Valve Function

J.L. Pomar, M.D.*, G. Cucchiara, M.D., I. Gallo, M.D., C.M.G. Durán, M.D. Ph.D.

Cirugia Cardiovascular, Centro Medico "Marques de Valdecilla," Universidad de Santander, Santander, Spain.

Accepted for publication May 3, 1977.

* Address reprint requests to Dr. Pomar, Servicio de Cirugia Cardiovascular, Centro Medico Nacional "Marques de Valdecilla," Santander, Spain

Clinical, echocardiographic, hemodynamic, and angiographic data can usually assess the preoperative status of the mitral valve quite accurately. However, there is need for an intraoperative method to observe the dynamic function of the mitral valve, particularly after an open commissurotomy, or to determine the efficacy of a valvoplasty. Our experience with more than 250 mitral annuloplasties has led to the development of a safe method for direct observation of the mitral closure mechanism using the left ventricular vent and a slight modification of the usual cardiopulmonary circuit.




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